Organization Active NPI

Home Med Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1902413578
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOME MED SUPPLY LLC
Practice address
2450 SW 137TH Ave Ste 202
Miami, FL 33175-6312
Phone
(786) 930-4617
NPI assigned
Sep 28, 2020
Last updated
Dec 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Authorized official

Name
Stella M Crismanich
Title
Ambr
Phone
(786) 930-4617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2450 SW 137TH Ave Ste 202
Miami, FL 33175-6312

Mailing address

2450 SW 137TH Ave Ste 202
Miami, FL 33175-6312
Phone (786) 930-4617

National Provider Directory

National Provider Directory

Locations

13301 SW 132nd Ave
Unit 208
Miami, FL 33186
Phone (786) 250-4274

2450 SW 137th Ave
Ste 202
Miami, FL 33175
Phone (305) 221-3213

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1902413578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 SW 137TH AVE STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756312",
            "telephone_number": "786-930-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 SW 137TH AVE STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756312",
            "telephone_number": "786-930-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME MED SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "CRISMANICH",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "786-930-4617"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.