MEDICARE: HOME HEALTH RESOURCE, 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	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	76358	CA
2	332BX2000X	Oxygen Equipment & Supplies (DME)	76358	CA

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	:	1265482731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH RESOURCE, INC.

Provider Business Mailing Address
First Line	:	4361 TECHNOLOGY DR
Second Line	:	SUITE C
City	:	LIVERMORE
State	:	CA
Zip	:	94551-4989
Country	:	US
Telephone Number	:	510-352-9592
Fax Number	:	510-352-4580

Provider Business Practice Location Address
First Line	:	4361 TECHNOLOGY DR
Second Line	:	SUITE C
City	:	LIVERMORE
State	:	CA
Zip	:	94551-4989
Country	:	US
Telephone Number	:	510-352-9592
Fax Number	:	510-352-4580

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALBERT G WARMERDAM
Credential	:	R.R.T.
Telephone Number	:	510-352-9592

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	10/29/2015

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Directions to “HOME HEALTH RESOURCE, INC. ” Practice Location

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