Organization Active NPI

General Home Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • North Miami, FL
National Provider Identifier
1992734065
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1312360 Issued in FL
Legal business name
GENERAL HOME MEDICAL SUPPLY
Practice address
1940 NE 123Rd St
North Miami, FL 33181-2803
Phone
(800) 779-5915
Fax
(800) 779-5916
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kambiz Yadidi
Title
President
Phone
(800) 779-5915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1312360 FL Primary

Addresses

Primary practice location

1940 NE 123Rd St
North Miami, FL 33181-2803

Mailing address

1940 NE 123Rd St
North Miami, FL 33181-2803
Phone (800) 779-5915

National Provider Directory

National Provider Directory

Locations

1940 NE 123rd St
North Miami, FL 33181
Phone (800) 779-5915

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992734065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 NE 123RD ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812803",
            "telephone_number": "800-779-5915",
            "fax_number": "800-779-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 NE 123RD ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812803",
            "telephone_number": "800-779-5915",
            "fax_number": "800-779-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL HOME MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YADIDI",
        "authorized_official_first_name": "KAMBIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-779-5915",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.