Active NPI
Home Health Depot, Inc.
- Customized Equipment (DME)
- Indianapolis, IN
National Provider Identifier
1609935584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 69000543A
- Legal business name
- HOME HEALTH DEPOT, INC.
- Practice address
- 7040 Guion Rd
Indianapolis, IN 46268-4812 - Phone
- (317) 333-6033
- Fax
- (317) 333-6034
- NPI assigned
- Dec 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David A. Hartley Jr.
- Title
- President
- Phone
- (317) 333-6033
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 69000543A | IN | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | HMER 22686 | OH | |
| Customized Equipment (DME) | 332BC3200X | 69000543A | IN | Primary |
| Customized Equipment (DME) | 332BC3200X | HMER 22686 | OH | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 69000543A | IN | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 831955559 | IN | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | MG0784 | KY | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 600262 | MN | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | HMER 22686 | OH |
Addresses
Primary practice location
7040 Guion Rd
Indianapolis, IN 46268-4812
Mailing address
9245 N Meridian St
Suite 200
Indianapolis, IN 46260-1836
Phone (317) 333-6033
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000097481 | Other | IN | ANTHEM BC/BS |
| 200951220A | Medicaid | IN | |
| 200206500A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
1221 S Creasy Ln
Ste T
Lafayette, IN 47905
Phone (765) 807-5655
2708 N Walnut St
Muncie, IN 47303
Phone (765) 284-5000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328832000000",
"number": "1609935584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9245 N MERIDIAN ST",
"address_2": "SUITE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601836",
"telephone_number": "317-333-6033",
"fax_number": "317-333-6034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7040 GUION RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462684812",
"telephone_number": "317-333-6033",
"fax_number": "317-333-6034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME HEALTH DEPOT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-07",
"last_updated": "2012-02-10",
"status": "A",
"authorized_official_last_name": "HARTLEY",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-333-6033",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IN",
"license": "69000543A",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "OH",
"license": "HMER 22686",
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "IN",
"license": "69000543A",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "OH",
"license": "HMER 22686",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "IN",
"license": "69000543A",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "IN",
"license": "831955559",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "KY",
"license": "MG0784",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "MN",
"license": "600262",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "OH",
"license": "HMER 22686",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000097481",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200951220A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200206500A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
- Home Health Care of Indiana LLC
- Home Health Care Services LLC (Care Partners @ Home)
- Home Health Care Services LLC
- Home Health Depot Inc
- Home Health Depot Inc
- Home Is Where the Heart Ishome Care LLC
- Home Medical Supply, LLC
- Home of My Own Home Health LLC
- Home of My Own LLC
- Home Respiratory Services, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.