Provider Demographics
NPI:1750696860
Name:DIAPER OUTLET & HOME HEALTH CARE
Entity type:Organization
Organization Name:DIAPER OUTLET & HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHFAQ
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-226-0554
Mailing Address - Street 1:470 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-5247
Mailing Address - Country:US
Mailing Address - Phone:219-226-0554
Mailing Address - Fax:219-769-3922
Practice Address - Street 1:7301 FOREST RIDGE DR
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-3351
Practice Address - Country:US
Practice Address - Phone:219-226-0554
Practice Address - Fax:219-769-3922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies