Healthcare Provider Details

I. General information

NPI: 1376620815
Provider Name (Legal Business Name): CHILDREN'S HOME MEDICAL EQUIPMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4448 EDGEWATER DR
ORLANDO FL
32804-1216
US

IV. Provider business mailing address

4448 EDGEWATER DR
ORLANDO FL
32804-1216
US

V. Phone/Fax

Practice location:
  • Phone: 407-513-3000
  • Fax:
Mailing address:
  • Phone: 407-513-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberHME 35
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License NumberHME 35
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License NumberHME 35
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License NumberHME 35
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License NumberHME 35
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberHME 35
License Number StateFL

VIII. Authorized Official

Name: MRS. MELISSA OHLMACHER
Title or Position: MANAGER OF FINANCIAL SERVICES
Credential:
Phone: 407-513-3108