NPIMap

Organization Active NPI

Florida Home Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Orange City, FL
National Provider Identifier
1265819619
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FLORIDA HOME MEDICAL SUPPLY, INC.
Practice address
985 Harley Strickland Blvd Ste 100E
Orange City, FL 32763-7980
Phone
(407) 849-6455
NPI assigned
May 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

985 Harley Strickland Blvd Ste 100E
Orange City, FL 32763-7980

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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

614 E Altamonte Dr
Altamonte Springs, FL 32701

985 Harley Strickland Blvd
Ste 100E
Orange City, FL 32763
Phone (407) 849-6455

915 S Orange Ave
Orlando, FL 32806
Phone (321) 843-2367

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1265819619",
    "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": "985 HARLEY STRICKLAND BLVD STE 100E",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637980",
            "telephone_number": "407-849-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HOME MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "BRUINSMA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.