=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619906575
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOME BREATHING CARE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/02/2006
-----------------------------------------------------
Last Update Date | 08/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 324 S EISENHOWER DR
-----------------------------------------------------
City | BECKLEY
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 25801-5850
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-252-9002
-----------------------------------------------------
Fax | 304-252-9332
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1100 HATCHER LN
-----------------------------------------------------
City | COLUMBIA
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 38401-3530
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-252-9002
-----------------------------------------------------
Fax | 304-252-9332
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/OWNER
-----------------------------------------------------
Name | DAVID BAXTER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 931-375-1775
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332BX2000X
-----------------------------------------------------
Taxonomy Name | Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------