MEDICARE: HOME COMFORT MEDICAL EQUIPMENT

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770577751
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME COMFORT MEDICAL EQUIPMENT

Provider Business Mailing Address
First Line	:	357 RIVERSIDE DR
Second Line	:	SUITE 120
City	:	FRANKLIN
State	:	TN
Zip	:	37064-8963
Country	:	US
Telephone Number	:	615-790-1556
Fax Number	:	615-790-6841

Provider Business Practice Location Address
First Line	:	433 WEST CENTRAL AVE
Second Line	:
City	:	JAMESTOWN
State	:	TN
Zip	:	38556
Country	:	US
Telephone Number	:	931-752-8914
Fax Number	:	931-752-8916

Authorized Official
Title or Position	:	DIRECTOR OF A/R MANAGEMENT
Name	:	MRS. SHALIA ROBIN LANKFORD
Credential	:
Telephone Number	:	615-790-1556

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	12/19/2007

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