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NPI Code Detail

MEDICARE: HOME SAFETY & MOBILITY, LLC

MEDICARE: HOME SAFETY & MOBILITY, 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
1171WH0202XHome Modifications Contractor
2332BC3200XCustomized Equipment (DME)
3332BN1400XNursing Facility Supplies (DME)
4332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1912761552
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME SAFETY & MOBILITY, LLC
Provider Business Mailing Address
First Line : 5625 N GERMAN CHURCH RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46235-8513
Country : US
Telephone Number : 317-389-6966
Fax Number :
Provider Business Practice Location Address
First Line : 5625 N GERMAN CHURCH RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46235-8513
Country : US
Telephone Number : 317-389-6966
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. DAVID RUNFOLA
Credential :
Telephone Number : 317-389-6966
Provider Enumeration Date : 02/13/2024
Last Update Date : 02/13/2024

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Directions to “HOME SAFETY & MOBILITY, LLC ” Practice Location

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