Provider Demographics
NPI:1750330833
Name:YHMO, LLC
Entity Type:Organization
Organization Name:YHMO, LLC
Other - Org Name:YOUR HOME MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-698-3737
Mailing Address - Street 1:1290 HAND AVE
Mailing Address - Street 2:SUITES C & D
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-3112
Mailing Address - Country:US
Mailing Address - Phone:386-677-6766
Mailing Address - Fax:386-257-9332
Practice Address - Street 1:1290 HAND AVE
Practice Address - Street 2:SUITES C & D
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-3112
Practice Address - Country:US
Practice Address - Phone:386-677-6766
Practice Address - Fax:386-257-9332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10890332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLR9869OtherBCBSFL
FLR9869OtherBCBSFL