Provider Demographics
NPI:1538168414
Name:HOME MEDICAL PROFESSIONALS
Entity type:Organization
Organization Name:HOME MEDICAL PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKHILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-533-9404
Mailing Address - Street 1:1655 OAKBROOK DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30507-8492
Mailing Address - Country:US
Mailing Address - Phone:770-533-9404
Mailing Address - Fax:
Practice Address - Street 1:2344 CHAMBLEE TUCKER RD
Practice Address - Street 2:
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-3447
Practice Address - Country:US
Practice Address - Phone:678-547-0619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-21
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00738174BMedicaid
GA1170660003Medicare NSC