Provider Demographics
NPI:1871793695
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 1:1801 C M FAGAN DR
Mailing Address - Street 2:SUITE 6
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403
Mailing Address - Country:US
Mailing Address - Phone:866-994-3686
Mailing Address - Fax:866-994-9333
Practice Address - Street 1:622 HIGHWAY 61 N
Practice Address - Street 2:
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-8405
Practice Address - Country:US
Practice Address - Phone:601-442-5357
Practice Address - Fax:601-442-1915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0597390005Medicare NSC