Provider Demographics
NPI:1841834207
Name:ONE HOME MEDICAL EQUIPMENT TX LLC
Entity type:Organization
Organization Name:ONE HOME MEDICAL EQUIPMENT TX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-242-1213
Mailing Address - Street 1:3351 EXECUTIVE WAY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3935
Mailing Address - Country:US
Mailing Address - Phone:855-441-6900
Mailing Address - Fax:855-441-6941
Practice Address - Street 1:1130 ARION PKWY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-2871
Practice Address - Country:US
Practice Address - Phone:102-424-1213
Practice Address - Fax:855-441-6941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-29
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1001725OtherTX DEPARTMENT OF STATE HEALTH SERVICES
TX7683080002Medicaid