Organization Active NPI

Family Home Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1639644701
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DMEHS4816OtherNYDMEHS

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.