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
3255 EXECUTIVE BLVD, SUITE 105, BEAUMONT, TX 77705-1051
(800) 871-1386
(409) 654-2068
Mailing address
PO BOX 121119, DEPT 1119, DALLAS, TX 75312-0001
(409) 951-6437
(409) 654-2068
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
—
0120313-01
—
TX
05
—
0793317-02
—
TX
05
—
079331701
—
TX
05
—
1209892-03
—
TX
05
—
1737658
—
LA
Enumeration date
07/11/2006
Last updated
09/02/2008
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