Provider Demographics
NPI:1194247551
Name:HOMELINK SANFORD
Entity type:Organization
Organization Name:HOMELINK SANFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HIBBEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-546-6893
Mailing Address - Street 1:1111 VAN MILLER WAY
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-1118
Mailing Address - Country:US
Mailing Address - Phone:866-546-6893
Mailing Address - Fax:
Practice Address - Street 1:1111 VAN MILLER WAY
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-1118
Practice Address - Country:US
Practice Address - Phone:866-546-6893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VGM GROUP INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-07
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies