| Organization Name: | HOME HEALTH DEPOT INC |
| NPI Number: | 1174823686 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRI GOLDMAN (DIRECTOR OF CONTRACTING) |
| Mailing Address: | 2101 W Cermak Rd Broadview |
| State: | IL US |
| Postal Code: | 601554605 |
| Phone Number: | 7083452466 |
| Fax Number: | 7083452865 |
| NPI Enumeration Date: | 10/31/2010 |
| NPI Last Update Date: | 02/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 203.001283 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |