Provider Type Icon

HOME HEALTH DEPOT INC NPI 1750682738


NPI Information

NPI: 1750682738
Provider Name: HOME HEALTH DEPOT INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
105 KRISPY KREME DR
SUITE 3
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 662-4606
Get Directions

HOME HEALTH DEPOT INC is a durable medical equipment medical supplies in Bloomington, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. HOME HEALTH DEPOT INC NPI is 1750682738. The provider is registered as an organization entity type.

The provider's business location address is:

105 KRISPY KREME DR
SUITE 3
BLOOMINGTON, IL
ZIP 61704-751
Phone: (309) 662-4606
Fax: (309) 663-1916

The provider's authorized official is Terri Goldman .
The authorized official title is Director Of Contracting and has the following contact phone number (317) 333-6033.

The enumeration date for this NPI number is 11/8/2010 and was last updated on 1/9/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment203.001290ILLINOISNo
2332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies203.001290ILLINOISNo
3332B00000XDurable Medical Equipment & Medical Supplies203.001290ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========002MEDICAIDILLINOIS
21230460007MEDICARE NSCILLINOIS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.