Provider Demographics
NPI:1003892704
Name:HOME MEDICAL SUPPLY SOLUTIONS, INC.
Entity Type:Organization
Organization Name:HOME MEDICAL SUPPLY SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:M
Authorized Official - Last Name:DE LANOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-939-1191
Mailing Address - Street 1:5674 GULF BREEZE PKWY
Mailing Address - Street 2:BLDG. C, STE. 3
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32563-4101
Mailing Address - Country:US
Mailing Address - Phone:850-939-9797
Mailing Address - Fax:850-936-1206
Practice Address - Street 1:5674 GULF BREEZE PKWY
Practice Address - Street 2:BLDG. C, STE. 3
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32563-4101
Practice Address - Country:US
Practice Address - Phone:850-939-9797
Practice Address - Fax:850-936-1206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-15
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1312003332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2552072Medicaid
OH2552072Medicaid