Organization Active NPI

Home Run Medical

  • Durable Medical Equipment & Medical Supplies
  • Daytona Beach, FL
National Provider Identifier
1952588113
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOME RUN MEDICAL
Practice address
1320 Mason Ave
Daytona Beach, FL 32117-4504
Phone
(386) 756-6344
Fax
(386) 756-6667
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
B Scott Goralnik
Title
Co-Owner
Phone
(386) 756-6344

Specialties & licenses 1

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

Addresses

Primary practice location

1320 Mason Ave
Daytona Beach, FL 32117-4504

Mailing address

1320 Mason Ave
Daytona Beach, FL 32117-4504
Phone (386) 756-6344

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1952588113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174504",
            "telephone_number": "386-756-6344",
            "fax_number": "386-756-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174504",
            "telephone_number": "386-756-6344",
            "fax_number": "386-756-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME RUN MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GORALNIK",
        "authorized_official_first_name": "B",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "386-756-6344"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.