Provider Demographics
NPI:1699087593
Name:ABOUT YOU HOME HEALTH AND MEDICAL SUPPLIES, INC.
Entity type:Organization
Organization Name:ABOUT YOU HOME HEALTH AND MEDICAL SUPPLIES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:SELLERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-236-7898
Mailing Address - Street 1:201 SW PORT SAINT LUCIE BLVD
Mailing Address - Street 2:SUITE #206
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34984-5018
Mailing Address - Country:US
Mailing Address - Phone:772-236-7898
Mailing Address - Fax:888-792-6585
Practice Address - Street 1:201 SW PORT SAINT LUCIE BLVD
Practice Address - Street 2:SUITE #206
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34984-5018
Practice Address - Country:US
Practice Address - Phone:772-236-7898
Practice Address - Fax:888-792-6585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ6570080001OtherMEDICARE NSC
6570080001Medicare NSC