Healthcare Provider Details

I. General information

NPI: 1619906575
Provider Name (Legal Business Name): HOME BREATHING CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 S EISENHOWER DR
BECKLEY WV
25801-5850
US

IV. Provider business mailing address

1100 HATCHER LN
COLUMBIA TN
38401-3530
US

V. Phone/Fax

Practice location:
  • Phone: 304-252-9002
  • Fax: 304-252-9332
Mailing address:
  • Phone: 304-252-9002
  • Fax: 304-252-9332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DAVID BAXTER
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 931-375-1775