MEDICARE: HOME MEDICAL EQUIPMENT SOLUTIONS

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)	81013079	OH

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	:	1487611802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME MEDICAL EQUIPMENT SOLUTIONS

Provider Business Mailing Address
First Line	:	140 FOX RD
Second Line	:	SUITE 208
City	:	VAN WERT
State	:	OH
Zip	:	45891-2475
Country	:	US
Telephone Number	:	419-238-9825
Fax Number	:	419-238-9343

Provider Business Practice Location Address
First Line	:	140 FOX RD
Second Line	:	SUITE 208
City	:	VAN WERT
State	:	OH
Zip	:	45891-2475
Country	:	US
Telephone Number	:	419-238-9825
Fax Number	:	419-238-9343

Authorized Official
Title or Position	:	CHAIRMAN
Name	:	MARK MINICK
Credential	:
Telephone Number	:	419-238-9825

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	08/22/2020

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