Provider Demographics
NPI:1073539896
Name:RESPIRATORY & MEDICAL HOMECARE UNLIMITED, INC.
Entity type:Organization
Organization Name:RESPIRATORY & MEDICAL HOMECARE UNLIMITED, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BILLIE
Authorized Official - Middle Name:I
Authorized Official - Last Name:KOOGLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-595-3356
Mailing Address - Street 1:PO BOX 371140
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79937-1140
Mailing Address - Country:US
Mailing Address - Phone:915-595-3356
Mailing Address - Fax:915-590-2320
Practice Address - Street 1:9801 CARNEGIE AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-1501
Practice Address - Country:US
Practice Address - Phone:915-595-3356
Practice Address - Fax:915-595-3359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BC3200X
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0101164-01Medicaid
TX0101164-04Medicaid