Provider Demographics
NPI:1902113004
Name:HME MEDICAL, INC.
Entity type:Organization
Organization Name:HME MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-915-1683
Mailing Address - Street 1:10220 W STATE ROAD 84
Mailing Address - Street 2:SUITE 15
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-4223
Mailing Address - Country:US
Mailing Address - Phone:954-915-1683
Mailing Address - Fax:954-915-1134
Practice Address - Street 1:10220 W STATE ROAD 84
Practice Address - Street 2:SUITE 15
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-4223
Practice Address - Country:US
Practice Address - Phone:954-915-1683
Practice Address - Fax:954-915-1134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL951919000Medicaid