NPIMap

Organization Active NPI

Florida Home Medical Supply Inc.

Doing business as Colonial Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Memphis, TN
National Provider Identifier
1144663444
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1313277 Issued in FL
Legal business name
FLORIDA HOME MEDICAL SUPPLY INC.
Doing business as
Colonial Medical Supplies
Practice address
5100 Poplar Ave
Suite 2700
Memphis, TN 38137-4000
Phone
(800) 747-0246
Fax
(800) 487-7163
NPI assigned
Apr 17, 2013
Last updated
Apr 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Mr. David Bruinsma
Title
Ceo
Phone
(407) 849-6455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1313277 FL Primary

Addresses

Primary practice location

5100 Poplar Ave
Suite 2700
Memphis, TN 38137-4000

Mailing address

614 E Altamonte Dr
Altamonte Springs, FL 32701-4803
Phone (407) 849-6455

Other names 1

  • Colonial Medical Supplies Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Florida Home Medical Supply LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1144663444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E ALTAMONTE DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014803",
            "telephone_number": "407-849-6455",
            "fax_number": "407-849-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 POPLAR AVE",
            "address_2": "SUITE 2700",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381374000",
            "telephone_number": "800-747-0246",
            "fax_number": "800-487-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HOME MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "BRUINSMA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-849-6455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1313277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.