NPI Code Details Logo

NPI 1043290745

NPI 1043290745 : COMMUNITY HOME OXYGEN INC : TEMPLE, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1043290745
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    COMMUNITY HOME OXYGEN INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/19/2006
-----------------------------------------------------
    Last Update Date     |    06/27/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2916 SW H K DODGEN LOOP 
-----------------------------------------------------
    City                 |    TEMPLE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76504-6818
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    254-483-3050
-----------------------------------------------------
    Fax                  |    254-771-4020
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 27968 
-----------------------------------------------------
    City                 |    SALT LAKE CITY
-----------------------------------------------------
    State                |    UT
-----------------------------------------------------
    Zip                  |    84127-0968
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    570-966-8030
-----------------------------------------------------
    Fax                  |    570-966-8040
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CHIEF EXECUTIVE OFFICER
-----------------------------------------------------
    Name                 |    MRS. ROBIN L MENCHEN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    407-822-4600
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332BC3200X
-----------------------------------------------------
    Taxonomy Name        |    Customized Equipment (DME)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    332BP3500X
-----------------------------------------------------
    Taxonomy Name        |    Parenteral & Enteral Nutrition Supplies (DME)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    332BX2000X
-----------------------------------------------------
    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    335E00000X
-----------------------------------------------------
    Taxonomy Name        |    Prosthetic/Orthotic Supplier
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    332B00000X
-----------------------------------------------------
    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.