MEMORIAL HOME CARE INC. NPI 1336210111

NPI Information

NPI: 1336210111
Provider Name: MEMORIAL HOME CARE, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1942 N OAK RD
PLYMOUTH, IN
ZIP 46563
Phone: (219) 935-4677
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MEMORIAL HOME CARE, INC. is a durable medical equipment medical supplies in Plymouth, IN. 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. MEMORIAL HOME CARE, INC. NPI is 1336210111. The provider is registered as an organization entity type.

The provider's business location address is:

1942 N OAK RD
PLYMOUTH, IN
ZIP 46563-495
Phone: (219) 935-4677

The provider's authorized official is Greg Conrad .
The authorized official title is Vice President & General Manager and has the following contact phone number (574) 647-8777.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 6/5/2008.

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		69000134A	INDIANA	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	Other Provider Identifier Issuer
1	000000363705	OTHER	INDIANA	ANTHEM PROVIDER
2	0369000006	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	MEDICARE PROVIDER
3	200253800C	MEDICAID	INDIANA

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: 5/5/2024

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