MEDICARE: HOME CARE EQUIPMENT, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083735740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE EQUIPMENT, INC.

Provider Business Mailing Address
First Line	:	1700 W HARPER ST
Second Line	:
City	:	POPLAR BLUFF
State	:	MO
Zip	:	63901-4121
Country	:	US
Telephone Number	:	573-686-3720
Fax Number	:	573-686-2929

Provider Business Practice Location Address
First Line	:	1118 WILKES BLVD
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65201-4772
Country	:	US
Telephone Number	:	573-474-0560
Fax Number	:	573-474-7590

Authorized Official
Title or Position	:	VICE-PRESIDENT
Name	:	MRS. SARA N BRUMITT
Credential	:
Telephone Number	:	573-686-3720

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	08/29/2023

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