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NPI Code Detail

MEDICARE: HOME CARE MEDICAL EQUIPMENT

MEDICARE: HOME CARE 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
1332BC3200XCustomized Equipment (DME)WV

Other Identifiers

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

General Provider Information

NPI Number : 1851467906
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME CARE MEDICAL EQUIPMENT
Provider Business Mailing Address
First Line : THIRD AND VIAND STREET
Second Line :
City : POINT PLEASANT
State : WV
Zip : 25550
Country : US
Telephone Number : 304-675-1318
Fax Number : 304-675-1318
Provider Business Practice Location Address
First Line : 6609 MACCORKLE AVE SE
Second Line :
City : CHARLESTON
State : WV
Zip : 25304-2923
Country : US
Telephone Number : 304-925-5439
Fax Number : 304-925-5980
Authorized Official
Title or Position : PRESIDENT OWNER
Name : PAUL KRIMM
Credential :
Telephone Number : 304-675-4888
Provider Enumeration Date : 11/28/2006
Last Update Date : 07/21/2022

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Directions to “HOME CARE MEDICAL EQUIPMENT ” Practice Location

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