MEDICARE: ONE HOME MEDICAL EQUIPMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1821718123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE HOME MEDICAL EQUIPMENT LLC

Provider Business Mailing Address
First Line	:	3351 EXECUTIVE WAY
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-3935
Country	:	US
Telephone Number	:	855-441-6900
Fax Number	:	855-441-6941

Provider Business Practice Location Address
First Line	:	13291 VANTAGE WAY STE 106107
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-1003
Country	:	US
Telephone Number	:	855-441-6900
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MR. LLOYD KIRK ALLEN
Credential	:
Telephone Number	:	205-602-9350

Provider Enumeration Date	:	08/29/2022
Last Update Date	:	12/18/2025

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Directions to “ONE HOME MEDICAL EQUIPMENT LLC ” Practice Location

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