Healthcare Provider Details
I. General information
NPI: 1821718123
Provider Name (Legal Business Name): ONE HOME MEDICAL EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/29/2022
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13291 VANTAGE WAY STE 106107
JACKSONVILLE FL
32218-1003
US
IV. Provider business mailing address
3351 EXECUTIVE WAY
MIRAMAR FL
33025-3935
US
V. Phone/Fax
- Phone: 855-441-6900
- Fax:
- Phone: 855-441-6900
- Fax: 855-441-6941
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
LLOYD
KIRK
ALLEN
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 205-602-9350