Abc Home Medical Supply, Inc.

Organization Active NPI Durable Medical Equipment & Medical Supplies · Port Saint Lucie, FL

NPI 1417217951 · NPPES record last updated Aug 3, 2026

Key facts

NPI
1417217951
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
ABC HOME MEDICAL SUPPLY, INC.
Practice address
1660 SW Saint Lucie West Blvd Ste 200
Port Saint Lucie, FL 34986-1965
Phone
(772) 232-7180
Fax
(772) 607-5274
NPI assigned
May 17, 2012
Organization subpart
No

Authorized official

Name
Claudio Galeno de Araujo Filho
Title
President and Director
Phone
(772) 292-7733

Other NPIs with the same Medicare PAC ID 7

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

Corporate family (same tax ID) 8

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

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Abc Home Medical Supply, Inc.
1660 SW Saint Lucie West Blvd, Port Saint Lucie, FL 34986-1965 · (866) 897-8588
Ostomy Supplies|Urological Supplies|Surgical Dressings Accepts assignment
Participating since Jan 1, 2016

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120808000862 FL DME Supplier - Medical Supply Company 8527273598 Practice locations: Port Saint Lucie, FL

National Provider Directory

Tax ID family
Abc Home Medical Supply Inc (9 organizations share this tax ID)

Locations

1660 SW Saint Lucie West Blvd
Ste 302
Port St Lucie, FL 34986
Phone (772) 337-8388

Networks

  • Optimum HealthCare HMO Network
    Plans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO Network
    Plans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Specialties & licenses

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

Addresses

Primary practice location

1660 SW Saint Lucie West Blvd Ste 200
Port Saint Lucie, FL 34986-1965

Mailing address

PO Box 674553
Detroit, MI 48267-4553
Phone (866) 897-8588

Other identifiers

IdentifierTypeStateIssuer
114650200MedicaidFL

Other providers in Port Saint Lucie, FL

All providers in Port Saint Lucie, FL · Durable Medical Equipment & Medical Supplies in Florida

Sources for this page

Verify at the official NPI Registry.