MEDICARE: UDS HOME MEDICAL EQUIPMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1861793168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UDS HOME MEDICAL EQUIPMENT LLC

Provider Business Mailing Address
First Line	:	1905 OLDE HOMESTEAD LN
Second Line	:	P.O. BOX 10485
City	:	LANCASTER
State	:	PA
Zip	:	17601-5824
Country	:	US
Telephone Number	:	717-665-1490
Fax Number	:	717-665-1941

Provider Business Practice Location Address
First Line	:	1905 OLDE HOMESTEAD LN
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-5824
Country	:	US
Telephone Number	:	717-665-1490
Fax Number	:	717-665-1941

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. WILLIAM H KEPNER
Credential	:
Telephone Number	:	717-397-1841

Provider Enumeration Date	:	11/03/2010
Last Update Date	:	05/31/2012

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