LONGS HOME MED SRVC AND EQUIP INC. (NPI# 1992892632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992892632 |
Entity Type | Organization |
Organization Name | LONGS HOME MED SRVC AND EQUIP INC. |
Other Organization Name | LONG'S HOME MEDICAL |
Practice Address |
3801 N Highway 19a Ste 408 Mount Dora FL 32757-2228 |
Practice Telephone | 3527351120 |
Practice Fax Number | 3527351137 |
Mailing Telephone | 3527351120 |
Mailing Fax Number | 3527351137 |
Enumeration Date | 2006-10-06 |
Last Update Date | 2011-06-02 |
Authorized Official Name | MRS. DOTTIE CULLEN (CEO) |
Authorized Official Telephone | 3527351120 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
1312180 | FL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BCBS FEDERAL PROVIEDER ID | R5491 | 01 |
FL | 026896800 | 05 |
Other Name | Type Code |
---|---|
Long's Home Medical | Other Name - Individual/Organization |
Street Address |
3801 N HIGHWAY 19A STE 408 |
City | MOUNT DORA |
State | FL |
Zip Code | 32757-2228 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720038219 | Center for Diseases of The Kidney & Hypertension Inc | Specialist | 3801 N Highway 19a, Suite 400, Mount Dora, FL 32757-2228 | 2006-05-12 |
1316244296 | Nephrology Associates of Lake County LLC | Internal Medicine | 3801 N Highway 19a, Suite 400, Mount Dora, FL 32757-2228 | 2011-02-11 |
1508048893 | Jaime Penix Md Pa | Internal Medicine | 3801 N Highway 19a, Ste 400, Mount Dora, FL 32757-2228 | 2007-11-29 |
1184836595 | Gerardo J Rodriguez, Md, Pa | Specialist | 3801 N Highway 19a, Suite 400, Mount Dora, FL 32757-2228 | 2007-05-06 |
1134233968 | Kevin Thomas Taylor | Internal Medicine | 3801 N Highway 19a, Suite # 402, Mount Dora, FL 32757-2228 | 2006-08-18 |
1346292620 | Gerardo J Rodriguez | Specialist | 3801 N Highway 19a, Suite 400, Mount Dora, FL 32757-2228 | 2006-05-16 |
1033161351 | Ruth Meneses-taylor | Specialist | 3801 N Highway 19a, Suite 400, Mount Dora, FL 32757-2228 | 2006-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093324824 | Cypress Grove Counseling Center LLC | Counselor | 6551 N Orange Blossom Trail Suite 209 #1005, Mount Dora, FL 32757 | 2020-07-28 |
1790327286 | Alisha Dawn Bateman | Nurse Practitioner | 7678 Lake Ola Dr., Mount Dora, FL 32757 | 2019-10-16 |
1306496153 | Carehere LLC | Family Medicine | Carehere Clinic- City of Mount Dora, Fl, 2110 North Donnelly Street, Mt Dora, FL 32757 | 2019-09-13 |
1871008680 | Sonya Quiroz | Behavior Technician | 21038 Niles Ave, Mount Dora, FL 32757 | 2017-12-04 |
1043737661 | Erin N Booth | Behavior Technician | 411 N. Donnelly St., Suite 307, Mount Dora, FL 32757 | 2017-08-24 |
1053850073 | Sunshine Recovery Network, Inc | Community/Behavioral Health | 632 E 5th Ave, Mount Dora, FL 32757 | 2017-02-23 |
1336684661 | Catherine Lim Panlilio | Physical Therapist | 300 Brookfield Avenue, Mount Dora, FL 32757 | 2016-12-22 |
1659815306 | Mount Dora Modern Dentistry, Pa | Dentist | 17365 Us Hwy 441, Eustis, FL 32757 | 2016-12-15 |
1447603303 | Lake County Adult Activity Center Inc | Respite Care | 1934 N Donnelly St, Suite B, Mount Dora, FL 32757 | 2016-07-15 |
1871955724 | Sagir Patel | Dentist | 17365 Us Highway 441, Mount Dora, FL 32757 | 2016-03-22 |
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Taxonomy Code | 332BX2000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Oxygen Equipment & Supplies |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477164283 | Florida Hospital Dme/rt, LLC | Durable Medical Equipment & Medical Supplies | 3715 Lake Center Dr, Mount Dora, FL 32757-2363 | 2020-08-14 |
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1336613116 | Buffalo Wheelchair Inc | Durable Medical Equipment & Medical Supplies | 7723 Collier Blvd Unit 302, Naples, FL 34114-2771 | 2019-01-15 |
1609344647 | Special Care Medical of Sc, Inc. | Durable Medical Equipment & Medical Supplies | 5316 Lena Rd Ste 107, Bradenton, FL 34211-9438 | 2018-11-07 |
1891263380 | Taygan Home Medical | Durable Medical Equipment & Medical Supplies | 3730 Soutel Dr Unit 2304, Jacksonville, FL 32208-1286 | 2018-11-02 |
Find all providers with the same taxonomy |
City | MOUNT DORA |
Zip Code | 32757 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.