Organization
HOME HEALTH DEPOT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A HARTLEY JR. (CEO)
(317) 333-6033
Entity
Organization
Contact information
Practice address
1428 10TH ST, SUITE 1A, COLUMBUS, IN 47201-5906
(812) 565-5350
(812) 565-5351
Mailing address
9245 N MERIDIAN ST, SUITE 200, INDIANAPOLIS, IN 46260-1836
(317) 333-6033
(317) 333-6034
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
69001173A
IN
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
12/05/2013
Last updated
05/02/2014
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