Community Home Oxygen Inc

Organization Active NPI Durable Medical Equipment & Medical Supplies · Sheridan, WY

NPI 1033189261 · NPPES record last updated Mar 18, 2024

Key facts

NPI
1033189261
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
COMMUNITY HOME OXYGEN INC
Practice address
2240 Coffeen Ave
Suite F
Sheridan, WY 82801-6288
Phone
(307) 672-9021
Fax
(307) 672-8367
NPI assigned
Jan 23, 2006
Organization subpart
Yes
Parent organization (as reported)
ROTECH HEALTHCARE INC

Authorized official

Name
Mrs. Robin L Menchen
Title
Chief Executive Officer
Phone
(407) 822-4600

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rotech
2240 Coffeen Ave, Sheridan, WY 82801-6288 · (307) 672-9021
Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|External Infusion Pumps and/or Supplies|Ins… Does not accept assignment
Participating since Jan 1, 1997

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930052689 WY DME Supplier - Medical Supply Company
DME Supplier - Oxygen & Equipment
3779603626 Practice locations: Sheridan, WY

National Provider Directory

Tax ID family
Community Home Oxygen H (9 organizations share this tax ID)
Part of
Rotech Healthcare Inc

Locations

114 Bridger Center Dr
Unit A
Bozeman, MT 59715
Phone (406) 586-1262

4010 Quartz Dr
Ste A
Cheyenne, WY 82007
Phone (307) 635-8866

2240 Coffeen Ave
Ste F
Sheridan, WY 82801
Phone (307) 672-9021

Networks

  • UT PPO
    Plans: DEVOTED CHOICE GIVEBACK 002 UT (PPO) (H4473-002-000, H4473); DEVOTED CHOICE 001 UT (PPO) (H4473-001-000, H4473)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes
Customized Equipment (DME) 332BC3200X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

2240 Coffeen Ave
Suite F
Sheridan, WY 82801-6288

Mailing address

PO Box 27968
Salt Lake City, UT 84127-0968
Phone (570) 966-8030

Other identifiers

IdentifierTypeStateIssuer
105787104MedicaidWY

Other names

  • ROTECH Doing business as

Other providers in Sheridan, WY

All providers in Sheridan, WY · Durable Medical Equipment & Medical Supplies in Wyoming

Sources for this page

Verify at the official NPI Registry.