Healthcare Provider Details

I. General information

NPI: 1457352015
Provider Name (Legal Business Name): HOLMES HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2005
Last Update Date: 07/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S MAIN ST
BORGER TX
79007-4808
US

IV. Provider business mailing address

600 S MAIN ST
BORGER TX
79007-4808
US

V. Phone/Fax

Practice location:
  • Phone: 806-274-5334
  • Fax: 806-274-2474
Mailing address:
  • Phone: 806-274-5334
  • Fax: 806-274-2474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number5096510001
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number5096510001
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number5096510001
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number5096510001
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number5096510001
License Number StateTX
# 6
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number23016
License Number StateTX

VIII. Authorized Official

Name: MR. ROGER W HOLMES JR.
Title or Position: PRESIDENT
Credential: RPH
Phone: 806-274-5334