Provider Demographics
NPI:1396798765
Name:BAAR HOME MEDICAL EQUIPMENT, INC.
Entity type:Organization
Organization Name:BAAR HOME MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BAAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-467-0072
Mailing Address - Street 1:24760 W EAMES ST
Mailing Address - Street 2:
Mailing Address - City:CHANNAHON
Mailing Address - State:IL
Mailing Address - Zip Code:60410-5191
Mailing Address - Country:US
Mailing Address - Phone:815-467-0072
Mailing Address - Fax:815-467-0070
Practice Address - Street 1:24760 W EAMES ST
Practice Address - Street 2:
Practice Address - City:CHANNAHON
Practice Address - State:IL
Practice Address - Zip Code:60410-5191
Practice Address - Country:US
Practice Address - Phone:815-467-0072
Practice Address - Fax:815-467-0070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL9932364OtherB/C B/S PROVIDER #
IL9932364OtherB/C B/S PROVIDER #
IL=========001Medicaid
IL9932364OtherB/C B/S PROVIDER #
IL=========002Medicaid