HOME HEALTH DEPOT INC


Address: 105 Krispy Kreme Dr, Suite 3, Bloomington, IL 61704-3751
Phone: 3096624606

HOME HEALTH DEPOT INC (NPI# 1750682738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750682738
Entity Type Organization
Organization Name HOME HEALTH DEPOT INC
Practice Address 105 Krispy Kreme Dr
Suite 3
Bloomington
IL 61704-3751
Mailing Address 9245 N Meridian St
Suite 200
Indianapolis
IN 46260-1836
Practice Telephone 3096624606
Practice Fax Number 3096631916
Mailing Telephone 3173336033
Mailing Fax Number 3173336034
Enumeration Date 2010-11-08
Last Update Date 2012-01-09
Authorized Official Name TERRI GOLDMAN (DIRECTOR OF CONTRACTING)
Authorized Official Telephone 3173336033
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
203.001290 IL Suppliers
N 332BX2000X Durable Medical Equipment & Medical Supplies
Specialization: Oxygen Equipment & Supplies
203.001290 IL Suppliers
Y 332B00000X Durable Medical Equipment & Medical Supplies 203.001290 IL Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1093016669 Home Health Depot Inc Durable Medical Equipment & Medical Supplies 6004 Highview Dr, Suite A, Fort Wayne, IN 46818-1383 2010-11-12
1164723722 Home Health Depot Inc Durable Medical Equipment & Medical Supplies 7717 Kensington Ct, Brighton, MI 48116-8561 2010-11-12
1083914501 Home Health Depot Inc Durable Medical Equipment & Medical Supplies 7781 Us 31 S, Indianapolis, IN 46227-8548 2010-10-31
1174823686 Home Health Depot Inc Durable Medical Equipment & Medical Supplies 2101 W Cermak Rd, Broadview, IL 60155-4605 2010-10-31
1447550967 Home Health Depot Inc Durable Medical Equipment & Medical Supplies 300 S Tillotson Ave, Muncie, IN 47304-4357 2010-10-31
1538469051 Home Health Depot Inc Durable Medical Equipment & Medical Supplies 2228 Sagamore Pkwy S, Suite B, Lafayette, IN 47905-5112 2010-10-31
1790057701 Home Health Depot Inc Durable Medical Equipment & Medical Supplies 6004 Highview Dr, Suite A, Fort Wayne, IN 46818-1383 2012-02-07
1033492996 Home Health Depot Inc Durable Medical Equipment & Medical Supplies 7040 Guion Rd, Indianapolis, IN 46268-4812 2011-09-27

Office Location

Street Address 105 KRISPY KREME DR
SUITE 3
City BLOOMINGTON
State IL
Zip Code 61704-3751

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235163056 Renuka Bhaskar Pathology 105 Krispy Kreme Dr, Ste 4, Bloomington, IL 61704-3751 2006-07-10

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NPI Name Taxonomy Address Enumeration
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1346760253 Elizabeth Devlin Nurse Practitioner 25 Long Cove Ct, Bloomington, IL 61704 2017-06-21
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1396093977 Bhawna Gupta Physical Therapist 2200 East Washington Street, Bloomington, IL 61704 2012-08-29
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245797646 D B Medical Supplies Inc Durable Medical Equipment & Medical Supplies 2601 General Electric Rd Ste 4, Bloomington, IL 61704-3437 2019-02-22
1538648571 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 702 W Chestnut St Ste 103, Bloomington, IL 61701-2814 2018-08-10
1881193274 Orthopedic Rehabilitation Supply LLC Durable Medical Equipment & Medical Supplies 13 Norbloom Ave, Bloomington, IL 61701-1949 2018-02-12
1821504697 Wig Wam Boutique LLC Durable Medical Equipment & Medical Supplies 313 W 17th St, Bloomington, IN 47404-3453 2017-12-15
1033622824 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 1825 N Kinser Pike, Bloomington, IN 47404-1914 2017-11-15
1629509732 Touchway LLC Durable Medical Equipment & Medical Supplies 60 E Broadway, Bloomington, MN 55425-5510 2017-03-22
1437697935 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 445 S Landmark Ave Ste P, Bloomington, IN 47403-5004 2017-02-03
1861875403 Hook Superx LLC Durable Medical Equipment & Medical Supplies 121 E Kirkwood Ave, Bloomington, IN 47408-3331 2015-07-01
1639479140 Home Health Depot Durable Medical Equipment & Medical Supplies 13 Westport Ct, Unit B, Bloomington, IL 61704-3626 2010-10-31
1316178064 Highland Park Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 1130 S Veterans Pkwy, Bloomington, IL 61704 2009-07-29
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Competitor

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City BLOOMINGTON
Zip Code 61704

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Dataset Information

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.

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