Longs Home Med SRVC and Equip Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

1312180 Issued in FL

Legal business name

LONGS HOME MED SRVC AND EQUIP INC.

Practice address

3801 N Highway 19a
Ste 408
Mount Dora, FL 32757-2228

Phone

(352) 735-1120

Fax

(352) 735-1137

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Dottie Cullen

Title

Ceo

Phone

(352) 735-1120

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Long's Home Medical Other name

Locations

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1992892632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 N HIGHWAY 19A",
            "address_2": "STE 408",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572228",
            "telephone_number": "352-735-1120",
            "fax_number": "352-735-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N HIGHWAY 19A",
            "address_2": "STE 408",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572228",
            "telephone_number": "352-735-1120",
            "fax_number": "352-735-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGS HOME MED SRVC AND EQUIP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "DOTTIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-735-1120",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "1312180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026896800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEDERAL PROVIEDER ID",
            "identifier": "R5491",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long's Home Medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Mount Dora, FL
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.