Provider Demographics
NPI:1902930803
Name:HOMECARE MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:HOMECARE MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:E
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-369-3333
Mailing Address - Street 1:36518 FRANCINE CIRCLE SOUTH
Mailing Address - Street 2:
Mailing Address - City:GEISMAR
Mailing Address - State:LA
Mailing Address - Zip Code:70734
Mailing Address - Country:US
Mailing Address - Phone:985-369-3333
Mailing Address - Fax:985-369-3334
Practice Address - Street 1:6085 HIGHWAY ONE SUITE-C
Practice Address - Street 2:
Practice Address - City:PAINCOURTVILLE
Practice Address - State:LA
Practice Address - Zip Code:70391
Practice Address - Country:US
Practice Address - Phone:985-369-3333
Practice Address - Fax:985-369-3334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1434337Medicaid
LA3971940001Medicare NSC