Organization
HOME CARE MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KALTRIDER (PRESIDENT)
(203) 837-2436
Entity
Organization
Contact information
Practice address
15373 ROOSEVELT BLVD, SUITE 203, CLEARWATER, FL 33760-3507
(727) 524-2339
(409) 654-2068
Mailing address
18227 AMMI TRL, ATTN: RHONDA MILLER, HOUSTON, TX 77060-1116
(281) 784-4861
(281) 209-8025
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
—
910211600
—
FL
Enumeration date
07/07/2006
Last updated
11/03/2009
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