Organization Active NPI

Complete Medical Supplies, Inc.

Durable Medical Equipment & Medical Supplies
Coral Springs, FL

National Provider Identifier

1588652002

Registry record updated May 19, 2025

On this page

Key facts
NPPES NPI Registry
Medicare participation
Laboratory certificates & supplier records
National Provider Directory
NPI Registry JSON
Other providers in Coral Springs, FL
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name: COMPLETE MEDICAL SUPPLIES, INC.
Practice address: 11971 NW 37TH St
Coral Springs, FL 33065-2500
Phone: (877) 748-1977
Fax: (877) 748-1985
NPI assigned: Oct 10, 2005
Organization subpart: No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name: Sandra Hettinger
Title: Vice President/ Owner
Phone: (877) 748-1977

Specialties & licenses 1

Specialty (taxonomy)	Code	License	State	Primary
Durable Medical Equipment & Medical Supplies	332B00000X			Primary

Addresses

Primary practice location

11971 NW 37TH St
Coral Springs, FL 33065-2500

Mailing address

11971 NW 37TH St
Coral Springs, FL 33065-2500
Phone (877) 748-1977

Other identifiers 26

Identifier	Type	State
0721816	Medicaid	NJ
1588652002	Medicaid	IA
300027875	Medicaid	IN
30027875	Medicaid	TX
548264	Medicaid	AZ
580288100	Medicaid	MD
1588652002	Medicaid	NC
1588652002	Medicaid	ME
2178303	Medicaid	WA
7100631250	Medicaid	KY
1588652002	Medicaid	RI
3015340	Medicaid	UT
100096794	Medicaid	WI
1101614891A	Medicaid	MA
1588652002	Medicaid	MI
17134030	Medicaid	NM
500774457	Medicaid	OR
030810200	Medicaid	FL
3124758	Medicaid	NH
9000179349	Medicaid	CO
0370750	Medicaid	OH
100268770200	Medicaid	NE
1035830	Medicaid	VT
1588652002	Medicaid	ID
30004676390001	Medicaid	KS
DM1611	Medicaid	SC

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment: Enrolled in FL2 enrollments

Enrollment records 2

Enrollment ID	State	Provider type	PAC ID	Details
O20100930019921	FL	DME Supplier - Medical Supply Company	4385766476	Practice locations: Coral Springs, FL
O20130411000311	FL	Part B Supplier - Other	4385766476	Practice locations: Coral Springs, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

Supplier	Supplies	Medicare assignment
Complete Medical Supplies, Inc.11971 NW 37TH St, Coral Springs, FL 33065-2500(877) 748-1977	Blood Glucose Monitors/Supplies (Mail Order)\|Ostomy Supplies\|Tracheotomy Supplies\|Urological Supplies\|Surgical Dressings\|Lymphedema Compression Treatment Items	Does not accept assignmentParticipating since Aug 28, 2000

National Provider Directory

Locations

4001 NW 124th Ave
Coral Springs, FL 33065
Phone (954) 748-5151

11971 NW 37th St
Coral Springs, FL 33065
Phone (877) 748-1977

10501 NW 50th St
Ste 102
Sunrise, FL 33351
Phone (954) 748-5151

Networks

Optimum HealthCare HMO NetworkPlans: 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 NetworkPlans: 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)…

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1588652002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11971 NW 37TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330652500",
            "telephone_number": "877-748-1977",
            "fax_number": "877-748-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11971 NW 37TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330652500",
            "telephone_number": "877-748-1977",
            "fax_number": "877-748-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "HETTINGER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "VICE PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "877-748-1977"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0721816",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588652002",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300027875",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30027875",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "548264",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580288100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588652002",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588652002",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2178303",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100631250",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588652002",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3015340",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100096794",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1101614891A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588652002",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17134030",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500774457",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030810200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3124758",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000179349",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0370750",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100268770200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035830",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588652002",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004676390001",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DM1611",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.