Organization
SUFFOLK HOME MEDICAL
Active
Organization
SUFFOLK HOME MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS INMAN (OWNER)
(941) 473-1187
Entity
Organization
Contact information
Practice address
815 W CONSTANCE RD, SUFFOLK, VA 23434-5649
(757) 539-2772
(757) 539-5037
Mailing address
47 GRAND PALMS BLVD, ENGLEWOOD, FL 34223-1808
(941) 473-1187
(941) 473-1187
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
001878
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009133321
—
VA
01
—
062865
PROVIDER NUMBER(BCBS)
VA
01
—
7700372
DMAS PROVIDER NUMBER
NC
Enumeration date
10/18/2006
Last updated
10/02/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up