Active NPI
Family Home Medical Equipment & Supplies, LLC
- Durable Medical Equipment & Medical Supplies
- Valdosta, GA
National Provider Identifier
1427377944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- FAMILY HOME MEDICAL EQUIPMENT & SUPPLIES, LLC
- Doing business as
- Family Home Medical
- Practice address
- 303 University Dr
Valdosta, GA 31602-2631 - Phone
- (229) 269-4585
- Fax
- (229) 269-4585
- NPI assigned
- May 24, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Burton C Ross
- Title
- Presdient
- Phone
- (941) 624-0127
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
303 University Dr
Valdosta, GA 31602-2631
Mailing address
1825 Tamiami TRL
Suite E1
Port Charlotte, FL 33948-1077
Phone (941) 624-0127
Other names 1
- Family Home Medical
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285200000000",
"number": "1427377944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 TAMIAMI TRL",
"address_2": "SUITE E1",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481077",
"telephone_number": "941-624-0127",
"fax_number": "941-624-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 UNIVERSITY DR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022631",
"telephone_number": "229-269-4585",
"fax_number": "229-269-4585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HOME MEDICAL EQUIPMENT & SUPPLIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-24",
"last_updated": "2010-09-23",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "BURTON",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESDIENT",
"authorized_official_telephone_number": "941-624-0127",
"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": "Family Home Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.