The DME Boutique LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

THE DME BOUTIQUE LLC

Doing business as

Hope Mastectomy Boutique

Practice address

2880 S Osceola Ave
Orlando, FL 32806-5431

Phone

(407) 993-6323

Fax

(954) 272-7111

NPI assigned

Oct 21, 2024

Organization subpart

Yes

Parent organization

THE DME BOUTIQUE LLCAs reported in NPPES

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

Authorized official

Name

John Almonacid

Title

Owner

Phone

(954) 261-7081

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HOPE MASTECTOMY BOUTIQUE Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• The DME Boutique LLC

  dba Hope Mastectomy Boutique

  • Prosthetic/Orthotic Supplier
  • Pembroke Pines, FL
  • NPI 1457803066

  0244505899

  Same PAC ID

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

Medicare medical equipment & supply locations

Tax ID family

The DME Boutique LLC2 organizations share this tax ID, including this one

Part of

The DME Boutique LLC

Other organizations with this tax ID 1

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

• The DME Boutique LLC

  dba Hope Mastectomy Boutique

  • Prosthetic/Orthotic Supplier
  • Pembroke Pines, FL
  • NPI 1457803066
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The DME Boutique LLC

  dba Hope Mastectomy Boutique

  • Prosthetic/Orthotic Supplier
  • Pembroke Pines, FL
  • NPI 1457803066
  NPPES parent name

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1265253470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8353 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246607",
            "telephone_number": "954-505-4411",
            "fax_number": "954-272-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 S OSCEOLA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065431",
            "telephone_number": "407-993-6323",
            "fax_number": "954-272-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8353 Pines Blvd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330246607",
            "country_code": "US",
            "telephone_number": "954-505-4411",
            "fax_number": "954-272-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE DME BOUTIQUE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE DME BOUTIQUE LLC",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "ALMONACID",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-261-7081"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024105100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOPE MASTECTOMY BOUTIQUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Orlando, FL
• Providers in Orlando, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.