Provider Demographics
NPI:1285927772
Name:@ HOME RESPIRATORY CARE INC
Entity type:Organization
Organization Name:@ HOME RESPIRATORY CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MARMOLEJO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:661-859-5100
Mailing Address - Street 1:PO BOX 12256
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93389-2256
Mailing Address - Country:US
Mailing Address - Phone:661-859-5100
Mailing Address - Fax:
Practice Address - Street 1:1401 COMMERCIAL WAY
Practice Address - Street 2:SUITE 110
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0628
Practice Address - Country:US
Practice Address - Phone:661-859-5100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA121907332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies