MEDICARE: HOMENET,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)

General Provider Information

NPI Number	:	1740494871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMENET,INC

Provider Business Mailing Address
First Line	:	60 BROAD ST
Second Line	:
City	:	TONAWANDA
State	:	NY
Zip	:	14150-2230
Country	:	US
Telephone Number	:	716-694-2253
Fax Number	:	716-694-2554

Provider Business Practice Location Address
First Line	:	60 BROAD ST
Second Line	:
City	:	TONAWANDA
State	:	NY
Zip	:	14150-2230
Country	:	US
Telephone Number	:	716-694-2253
Fax Number	:	716-694-2554

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROGER HUBACHER
Credential	:	RRT
Telephone Number	:	716-694-2253

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	08/22/2020

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