Provider Demographics
NPI:1265394480
Name:HOMEMED DME & SUPPLIES INC.
Entity type:Organization
Organization Name:HOMEMED DME & SUPPLIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-815-8087
Mailing Address - Street 1:23552 COMMERCE CENTER DR STE K
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1514
Mailing Address - Country:US
Mailing Address - Phone:949-815-8087
Mailing Address - Fax:949-449-8201
Practice Address - Street 1:23552 COMMERCE CENTER DR STE K
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1514
Practice Address - Country:US
Practice Address - Phone:949-815-8087
Practice Address - Fax:949-449-8201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-25
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies