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PROVIDENCE HOME MEDICAL SERVICES, LLC

Oxygen Equipment & Supplies

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Contact Information

PROVIDENCE HOME MEDICAL SERVICES, LLC
6701 AIRPORT BLVD.
STE. B-121
MOBILE, AL  36608-6705
 Phone: 251-633-7491
 Fax: 251-633-7492
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

 332BX2000X B1 Oxygen supplier
 

Durable Medical Equipment & Medical Supplies

 332B00000X 54 Other Medical Supply Company
 

Parenteral & Enteral Nutrition

 332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for PROVIDENCE HOME MEDICAL SERVICES, LLC

NPI Number 1982030193
LBN Legal business name PROVIDENCE HOME MEDICAL SERVICES, LLC
Authorized official LISA WELLS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2013
Last updated 11/12/2019 - About 7 years ago
Identifiers
AL Medicaid 163809
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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