HOME MEDISERVICE LLC (NPI# 1194817379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194817379 |
| Entity Type | Organization |
| Organization Name | HOME MEDISERVICE LLC |
| Practice Address |
540 S Union Ave Havre De Grace MD 21078 |
| Mailing Address |
540 S Union Ave Havre De Grace MD 21078-3410 |
| Practice Telephone | 4109391212 |
| Practice Fax Number | 4109395952 |
| Mailing Telephone | 4109391212 |
| Mailing Fax Number | 4109395952 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2018-06-24 |
| Authorized Official Name | LUKE MCGEE (CEO) |
| Authorized Official Telephone | 6468800473 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | ========= | MD | Suppliers |
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
========= | MD | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
========= | MD | Suppliers |
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
========= | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 029058100 | 05 |
| Street Address |
540 S UNION AVE |
| City | HAVRE DE GRACE |
| State | MD |
| Zip Code | 21078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942392139 | Grace Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 540 S Union Ave, Havre De Grace, MD 21078-3410 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265076327 | Shannon Mona Lane | Social Worker | [email protected], 609 Peace Chance Dr., Havre De Grace, MD 21078 | 2019-11-01 |
| 1134699788 | Amanda Graziano | Speech-Language Pathologist | 201 Oakington Rd, Havre De Grace, MD 21078 | 2018-11-27 |
| 1689111551 | Barbara Rene-darbouze | Counselor | 400 Lewis Street, Havre De Grace, MD 21078 | 2017-01-30 |
| 1598136459 | Proud and Positive Treatment Services Inc. | Clinic/Center | 602 Revolution St., Suite 103, Havre De Grace, MD 21078 | 2015-10-16 |
| 1427426337 | Leodegario Ayson Najera Sr. | Surgery | 121 Flying Ebony Place, Havre De Grace, MD 21078 | 2015-09-09 |
| 1669857538 | Connie Dausch | Counselor | 100 St John Street, Suite 1, Havre De Grace, MD 21078 | 2015-07-21 |
| 1659777225 | Doris Stacy Fair | Counselor | 501 South Union Ave., Harford Memorial Hospital, Havre De Grace, MD 21078 | 2014-11-10 |
| 1871995860 | Faith Ku | Pharmacist | 1000 Pulaski Highway, Havre De Grace, MD 21078 | 2014-09-22 |
| 1376889121 | Lorien Life Center Harford II, Inc. | Skilled Nursing Facility | 1501 Blenheim Farm Lane, Havre De Grace, MD 21078 | 2012-12-26 |
| 1396000790 | Pdom Havre De Grace | Dentist | 2021 Pulaski Highway Units A and B, Havre De Grace, MD 21078 | 2012-07-11 |
| Find all providers in zip 21078 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689297947 | David Mark Devore | Durable Medical Equipment & Medical Supplies | 798 Seneca Dr, Odenton, MD 21113-3708 | 2020-05-21 |
| 1750738670 | Universal Mobile Healthcare Systems Inc | Durable Medical Equipment & Medical Supplies | 1231 Tech Ct, Westminster, MD 21157-3029 | 2016-05-20 |
| 1689032187 | Wavecare Health Services LLC | Durable Medical Equipment & Medical Supplies | 8725 Greenbelt Rd, Suite 203, Greenbelt, MD 20770-2475 | 2016-01-29 |
| 1477940237 | Medtix LLC | Durable Medical Equipment & Medical Supplies | 803 N Salisbury Blvd, Suite 2300, Salisbury, MD 21801-3650 | 2015-04-20 |
| 1467879718 | Able Medical Inc | Durable Medical Equipment & Medical Supplies | 1707 Reisterstown Rd, Suite 1, Baltimore, MD 21208-2947 | 2014-03-25 |
| 1720326218 | Bobby William Echard | Durable Medical Equipment & Medical Supplies | 6639 Wind Ridge Rd, Mount Airy, MD 21771-7479 | 2013-01-18 |
| 1205172293 | Roberts Home Medical Inc | Durable Medical Equipment & Medical Supplies | 920 N East St, Frederick, MD 21701-4622 | 2012-12-18 |
| 1033462759 | Professional Respiratory Homecare Services, Inc. | Durable Medical Equipment & Medical Supplies | 2520 Lord Baltimore Dr Ste U, Windsor Mill, MD 21244-2670 | 2012-10-18 |
| 1922364314 | Ace Medical Equipment and Supplies Inc. | Durable Medical Equipment & Medical Supplies | 1707 Reisterstown Rd Ste A, Pikesville, MD 21208-2947 | 2012-04-10 |
| 1609166958 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 70 Industrial Park Dr, Ste 1d, Waldorf, MD 20602-3736 | 2011-04-07 |
| Find all providers with the same taxonomy | ||||
| City | HAVRE DE GRACE |
| Zip Code | 21078 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.