Healthcare Provider Details

I. General information

NPI: 1497791362
Provider Name (Legal Business Name): COMMUNITY RESPIRATORY HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 08/13/2020
Certification Date: 08/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2999 COMMERCIAL WAY
SPRING HILL FL
34606-3319
US

IV. Provider business mailing address

7105 US HIGHWAY 19
NEW PORT RICHEY FL
34652-1638
US

V. Phone/Fax

Practice location:
  • Phone: 352-684-6062
  • Fax: 352-684-6047
Mailing address:
  • Phone: 727-807-6979
  • Fax: 727-807-7888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number1178
License Number StateFL

VIII. Authorized Official

Name: NAOMI RUTH EBERLE
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 727-807-6979