Organization · Type 2 NPI
Home Health Depot Inc
Customized Equipment (DME) · Broadview, IL
NPI number
1174823686
Active
Practice location
2101 W Cermak Rd
Broadview, IL 60155-4605
Fax (708) 345-2865
Mailing address
9245 N Meridian St, Suite 200
Indianapolis, IN 46260-1836
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 203.001283 (IL) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 69000860A (IN) |
| Customized Equipment (DME) Primary | 332BC3200X | 203.000752 (IL) |
| Customized Equipment (DME) | 332BC3200X | 69000860A (IN) |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 203.001283 (IL) |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 69000860A (IN) |
Customized Equipment (DME): Definition to come...
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About NPI 1174823686
Home Health Depot Inc's National Provider Identifier is 1174823686, issued on Oct 31, 2010. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Broadview, IL. The record was last updated on Jun 30, 2017.