MEDICARE: HOMEDEQ, 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)	051811	TX
2	332B00000X	Durable Medical Equipment & Medical Supplies		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0051811	OTHER	TX	DEPT OF HEALTH LISC NUM

General Provider Information

NPI Number	:	1184715419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMEDEQ, INC

Provider Business Mailing Address
First Line	:	PO BOX 25242
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77265-5242
Country	:	US
Telephone Number	:	713-748-6225
Fax Number	:	713-747-9076

Provider Business Practice Location Address
First Line	:	1020 HERCULES AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2722
Country	:	US
Telephone Number	:	713-748-6225
Fax Number	:

Authorized Official
Title or Position	:	CONTRACTING
Name	:	LEAH KENNEDY
Credential	:
Telephone Number	:	713-748-6225

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	09/11/2025

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Directions to “HOMEDEQ, INC ” Practice Location

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