Healthcare Provider Details

I. General information

NPI: 1497545941
Provider Name (Legal Business Name): HOME PROMO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 EMERSON PL
VALLEY STREAM NY
11580-2803
US

IV. Provider business mailing address

331 EMERSON PL
VALLEY STREAM NY
11580-2803
US

V. Phone/Fax

Practice location:
  • Phone: 929-635-8326
  • Fax: 888-651-3854
Mailing address:
  • Phone: 929-635-8326
  • Fax: 888-651-3854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: HAMMAD KHAN
Title or Position: CEO
Credential:
Phone: 929-635-8326