Ms Supply & Home Health Co.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

P02000003509 Issued in FL

Legal business name

MS SUPPLY & HOME HEALTH CO.

Practice address

500 E Kennedy Blvd Ste 411
Tampa, FL 33602-4934

Phone

(813) 787-8375

Fax

(813) 701-9681

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Manuel A. Santos

Title

President

Phone

(813) 621-2001

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1417991233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2642",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335092642",
            "telephone_number": "813-621-2001",
            "fax_number": "813-621-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E KENNEDY BLVD STE 411",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024934",
            "telephone_number": "813-787-8375",
            "fax_number": "813-701-9681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2919 W Cypress St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336091605",
            "country_code": "US",
            "telephone_number": "813-605-5255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MS SUPPLY & HOME HEALTH CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-621-2001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "P02000003509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032330600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Charles Muchnok, MD
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• Richard E. Mudd, MMSC, PA
• Tracie Katherine Mudge, APRN, BC

• Durable Medical Equipment & Medical Supplies in Tampa, FL
• Providers in Tampa, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.