Provider Demographics
NPI:1174723993
Name:QUALITY HOME OXYGEN, INC.
Entity type:Organization
Organization Name:QUALITY HOME OXYGEN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:H
Authorized Official - Last Name:KNECHT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:866-994-3686
Mailing Address - Street 1:145 W HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:PONCHATOULA
Mailing Address - State:LA
Mailing Address - Zip Code:70454-3215
Mailing Address - Country:US
Mailing Address - Phone:866-994-3686
Mailing Address - Fax:866-994-9333
Practice Address - Street 1:145 W HICKORY ST
Practice Address - Street 2:
Practice Address - City:PONCHATOULA
Practice Address - State:LA
Practice Address - Zip Code:70454-3215
Practice Address - Country:US
Practice Address - Phone:985-386-4760
Practice Address - Fax:985-386-4761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA0597390003Medicare NSC