Healthcare Provider Details

I. General information

NPI: 1548413800
Provider Name (Legal Business Name): OPTIONS HME, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2008
Last Update Date: 09/10/2020
Certification Date: 09/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 SHANNON CT
HIGHLAND IL
62249-1097
US

IV. Provider business mailing address

25 SHANNON CT
HIGHLAND IL
62249-1097
US

V. Phone/Fax

Practice location:
  • Phone: 618-920-1207
  • Fax:
Mailing address:
  • Phone: 618-920-1207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JAMES CAMPBELL
Title or Position: PRESIDENT
Credential:
Phone: 618-920-1207