CORNER HOMECARE NPI 1174737860

NPI Information

NPI: 1174737860
Provider Name: CORNER HOMECARE
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
546 LONE OAK RD
PADUCAH, KY
ZIP 42003
Phone: (270) 443-3311
Get Directions

CORNER HOMECARE is an oxygen equipment and supplies durable medical equipment medical supplies in Paducah, KY. CORNER HOMECARE NPI is 1174737860. The provider is registered as an organization entity type.

The provider's business location address is:

546 LONE OAK RD
PADUCAH, KY
ZIP 42003-538
Phone: (270) 443-3311
Fax: (270) 442-7710

The provider's authorized official is Steve K Ppool .
The authorized official title is Ceo and has the following contact phone number (270) 365-3903.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 8/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	332B00000X	Durable Medical Equipment & Medical Supplies		P02404	KENTUCKY	No
3	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			No
4	332BN1400X	Durable Medical Equipment & Medical Supplies	Nursing Facility Supplies			No
5	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition			No
6	333600000X	Pharmacy				No
7	335E00000X	Prosthetic/Orthotic Supplier				No
8	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0207870001	MEDICARE NSC	KENTUCKY
2	45001559	MEDICAID	KENTUCKY
3	54029509	MEDICAID	KENTUCKY
4	90310731	MEDICAID	KENTUCKY
5	=========002	MEDICAID	ILLINOIS
6	54005335	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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