MEDICARE: ABOUT YOU HOME HEALTH AND MEDICAL SUPPLIES, INC.

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	332B00000X	Durable Medical Equipment & Medical Supplies		FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6570080001	OTHER	AZ	MEDICARE NSC

General Provider Information

NPI Number	:	1699087593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABOUT YOU HOME HEALTH AND MEDICAL SUPPLIES, INC.

Provider Business Mailing Address
First Line	:	201 SW PORT SAINT LUCIE BLVD
Second Line	:	SUITE #206
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34984-5018
Country	:	US
Telephone Number	:	772-236-7898
Fax Number	:	888-792-6585

Provider Business Practice Location Address
First Line	:	201 SW PORT SAINT LUCIE BLVD
Second Line	:	SUITE #206
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34984-5018
Country	:	US
Telephone Number	:	772-236-7898
Fax Number	:	888-792-6585

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAMES D SELLERS
Credential	:
Telephone Number	:	772-236-7898

Provider Enumeration Date	:	07/08/2010
Last Update Date	:	11/29/2017

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