Healthcare Provider Details
I. General information
NPI: 1669320313
Provider Name (Legal Business Name): HOMEBIRD MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
107 GREENWICH ST FL 13
NEW YORK NY
10006-1898
US
IV. Provider business mailing address
107 GREENWICH ST FL 13
NEW YORK NY
10006-1898
US
V. Phone/Fax
- Phone: 844-402-4344
- Fax: 888-616-2361
- Phone: 844-402-4344
- Fax: 888-616-2361
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
VIJAY
KEDAR
Title or Position: CEO
Credential:
Phone: 724-719-8876