Organization
HOME CARE SUPPLY LLC
Active
Other names
PRAXAIR HEALTHCARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KALTRIDER (PRESIDENT)
(203) 837-2330
Entity
Organization
Contact information
Practice address
1830 RYAN ST, LAKE CHARLES, LA 70601-6000
(337) 479-0707
(409) 654-2068
Mailing address
350 PINE ST, SUITE 330, BEAUMONT, TX 77701-2437
(409) 951-6179
(203) 702-6840
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1685640
—
LA
Enumeration date
07/13/2006
Last updated
09/30/2009
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