Provider Demographics
NPI:1336701465
Name:CENTRAL HOME MEDICAL EQUIPMENT, LLC
Entity type:Organization
Organization Name:CENTRAL HOME MEDICAL EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:O'NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA MBA
Authorized Official - Phone:440-387-5500
Mailing Address - Street 1:38642 CENTER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-5812
Mailing Address - Country:US
Mailing Address - Phone:440-387-5500
Mailing Address - Fax:440-327-6172
Practice Address - Street 1:1276 LEAR INDUSTRIAL PKWY
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-1367
Practice Address - Country:US
Practice Address - Phone:216-307-6270
Practice Address - Fax:440-327-6172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-28
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0486390Medicaid