Poinciana Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

POINCIANA MEDICAL SUPPLIES LLC

Practice address

105 E Monument Ave
Kissimmee, FL 34741-5761

Phone

(407) 350-4138

Fax

(321) 250-4309

NPI assigned

May 17, 2022

Last updated

Jan 11, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Hector L Rodriguez, BANPI 1093253015

Title

Director

Phone

(407) 350-4138

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hector L Rodriguez Jr.

  • Home Health Agency
  • Kissimmee, FL
  • NPI 1093253015
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1083351555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452848",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347452848",
            "telephone_number": "407-350-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E MONUMENT AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415761",
            "telephone_number": "407-350-4138",
            "fax_number": "321-250-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINCIANA MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-350-4138",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poinciana Healthcare Inc
• Poinciana Med Equipment LLC
• Poinciana Medical Center, Inc. (HCA Florida Poinciana Hospital)
• Poinciana Medical Clinic
• Poinciana Medical Equipment
• Poinciana Personal Care & Companion Services (Poinciana Nurse Services)
• Poinciana Personal Care & Companion Services
• Poinciana Personal Care & Companion Services (Poinciana Companion Services)
• Poinciana Personal Care & Companion Services Corp (Poinciana Companion Services)
• Points of Healing LLC

• Durable Medical Equipment & Medical Supplies in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.