Healthcare Provider Details

I. General information

NPI: 1346825205
Provider Name (Legal Business Name): HOMEFIRST DME, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2021
Last Update Date: 11/02/2022
Certification Date: 11/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14328 41ST AVE UNIT M1
FLUSHING NY
11355-1813
US

IV. Provider business mailing address

14328 41ST AVE STE M1
FLUSHING NY
11355-1813
US

V. Phone/Fax

Practice location:
  • Phone: 212-897-2801
  • Fax:
Mailing address:
  • Phone: 212-897-2801
  • Fax: 866-863-5865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: HANG GUO
Title or Position: PRESIDENT
Credential:
Phone: 212-897-2801