Active NPI
Family Home Medical Supply LLC
- Durable Medical Equipment & Medical Supplies
- Brooklyn, NY
National Provider Identifier
1639644701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- FAMILY HOME MEDICAL SUPPLY LLC
- Practice address
- 1795 Flatbush Ave
Brooklyn, NY 11210-4341 - Phone
- (917) 789-9904
- NPI assigned
- Oct 4, 2018
- Last updated
- Apr 6, 2020
- 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
- Jumoke Adedo
- Title
- Managing Director
- Phone
- (646) 934-5014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1795 Flatbush Ave
Brooklyn, NY 11210-4341
Mailing address
1795 Flatbush Ave
Brooklyn, NY 11210-4341
Phone (917) 789-9904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DMEHS4816 | Other | NY | DMEHS |
National Provider Directory
National Provider DirectoryLocations
1795 Flatbush Ave
Brooklyn, NY 11210
Phone (917) 789-9904
4816 Avenue N
Brooklyn, NY 11234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586131200000",
"number": "1639644701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1795 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112104341",
"telephone_number": "917-789-9904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1795 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112104341",
"telephone_number": "917-789-9904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HOME MEDICAL SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-04",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A",
"authorized_official_last_name": "ADEDO",
"authorized_official_first_name": "JUMOKE",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "646-934-5014"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMEHS",
"identifier": "DMEHS4816",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Family Health Drugs Inc (Family Care Pharmacy)
- Family Health NP Care on 59 PLLC
- Family Health NP Services, PC
- Family Health Pharmacy LLC (Family Health Pharmacy)
- Family Home Care Services of Brooklyn & Queens, Inc.
- Family Leader Corp
- Family Madical Practice P.C.
- Family Medical Care of Marine Park, P.C.
- Family Medical Group of Nostrand Avenue
- Family Medical Health Care PLLC (Family Health Care PLLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.