Healthcare Provider Details

I. General information

NPI: 1255377610
Provider Name (Legal Business Name): HOME MEDICAL ENHANCEMENT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 06/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7880 FOUNDATION DR SUITE 3
FLORENCE KY
41042-3047
US

IV. Provider business mailing address

7798 READING RD SUITE 5
CINCINNATI OH
45237-2141
US

V. Phone/Fax

Practice location:
  • Phone: 513-699-0769
  • Fax: 513-699-0799
Mailing address:
  • Phone: 513-699-0769
  • Fax: 513-699-0799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP07102
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License NumberP07102
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberP07102
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number020887550
License Number StateKY

VIII. Authorized Official

Name: DINESH J MARTIS
Title or Position: PRESIDENT
Credential:
Phone: 513-699-0769