MEDICARE: PULMONARY HOME HEALTHCARE 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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51512805	OTHER	AL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437101847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PULMONARY HOME HEALTHCARE INC

Provider Business Mailing Address
First Line	:	2608 ROYAL COURT
Second Line	:
City	:	PELHAM
State	:	AL
Zip	:	35124
Country	:	US
Telephone Number	:	205-978-0046
Fax Number	:	205-988-0034

Provider Business Practice Location Address
First Line	:	1945 HOOVER COURT
Second Line	:	SUITE 103
City	:	HOOVER
State	:	AL
Zip	:	35226
Country	:	US
Telephone Number	:	205-978-0046
Fax Number	:	205-988-0034

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MOHAMMED ABDUL QADEER
Credential	:
Telephone Number	:	205-978-0046

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	02/14/2012

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