MEDICARE: INHOME MEDICAL SOLUTIONS LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1255649414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INHOME MEDICAL SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	1710 CUMBERLAND POINT DR SE
Second Line	:	SUITE 27
City	:	MARIETTA
State	:	GA
Zip	:	30067-9203
Country	:	US
Telephone Number	:	404-909-8838
Fax Number	:	770-293-0387

Provider Business Practice Location Address
First Line	:	1710 CUMBERLAND POINT DR SE
Second Line	:	SUITE 27
City	:	MARIETTA
State	:	GA
Zip	:	30067-9203
Country	:	US
Telephone Number	:	404-909-8838
Fax Number	:	770-293-0387

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TODD LAVELLE
Credential	:
Telephone Number	:	404-909-8838

Provider Enumeration Date	:	09/21/2010
Last Update Date	:	09/21/2010

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