NPIMap

Organization Active NPI

Family Home Medical Equipment & Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • North Port, FL
National Provider Identifier
1104215433
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1313208 Issued in FL
Legal business name
FAMILY HOME MEDICAL EQUIPMENT & SUPPLIES, LLC
Practice address
1077 Innovation Ave
Unit 105
North Port, FL 34289-9345
Phone
(941) 624-0127
Fax
(941) 624-6098
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Burton C Ross
Title
President
Phone
(941) 624-0127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1313208 FL Primary

Addresses

Primary practice location

1077 Innovation Ave
Unit 105
North Port, FL 34289-9345

Mailing address

1825 Tamiami TRL
Suite E1
Port Charlotte, FL 33948-1077
Phone (941) 624-0127

National Provider Directory

National Provider Directory
Tax ID family
Family Home Medical Equipment Supplies LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1077 Innovation Ave
Unit 105
North Port, FL 34289
Phone (941) 624-0127

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1104215433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 TAMIAMI TRL",
            "address_2": "SUITE E1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481077",
            "telephone_number": "941-624-0127",
            "fax_number": "941-624-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 INNOVATION AVE",
            "address_2": "UNIT 105",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342899345",
            "telephone_number": "941-624-0127",
            "fax_number": "941-624-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HOME MEDICAL EQUIPMENT & SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "BURTON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-624-0127"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1313208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.