Healthcare Provider Details

I. General information

NPI: 1730363599
Provider Name (Legal Business Name): DIVERSIFIED HOME MEDICAL EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2007
Last Update Date: 12/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1617 AKRON PENINSULA RD STE 102B
AKRON OH
44313-7930
US

IV. Provider business mailing address

1617 AKRON PENINSULA RD SUITE 102B
AKRON OH
44313
US

V. Phone/Fax

Practice location:
  • Phone: 330-920-6235
  • Fax: 330-552-2311
Mailing address:
  • Phone: 330-920-6235
  • Fax: 330-552-2311

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 Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MRS. PAULETTE SCOTT
Title or Position: OWNER
Credential: RRT
Phone: 330-920-6235