Healthcare Provider Details

I. General information

NPI: 1952688202
Provider Name (Legal Business Name): MERITER HOME HEALTH DME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2011
Last Update Date: 11/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 W BELTLINE HWY
MADISON WI
53713-2340
US

IV. Provider business mailing address

2180 W BELTLINE HWY PO BOX 259993
MADISON WI
53713-2340
US

V. Phone/Fax

Practice location:
  • Phone: 608-417-3700
  • Fax: 608-417-3747
Mailing address:
  • Phone: 608-417-3700
  • Fax: 608-417-3747

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 Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: SUSAN I ERICKSON
Title or Position: VP OF PROFESSIONAL SERVICES
Credential:
Phone: 608-417-6212