Provider Demographics
NPI:1316118201
Name:HOME LINE, INC
Entity type:Organization
Organization Name:HOME LINE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:POSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-644-2558
Mailing Address - Street 1:10414 BLUEGRASS PKWY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-2208
Mailing Address - Country:US
Mailing Address - Phone:877-463-5463
Mailing Address - Fax:877-619-7772
Practice Address - Street 1:9625 BLACK MOUNTAIN RD
Practice Address - Street 2:SUITE 302
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-4564
Practice Address - Country:US
Practice Address - Phone:858-621-6363
Practice Address - Fax:858-621-6366
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME LINE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1267670007Medicare NSC