Provider Demographics
NPI:1730257858
Name:HME SALES & SERVICE INC
Entity type:Organization
Organization Name:HME SALES & SERVICE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVODVORETS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-332-9887
Mailing Address - Street 1:10220 W STATE ROAD 84
Mailing Address - Street 2:UNIT 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 STE 15
Practice Address - Street 2:
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:2006-11-30
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL951919000Medicaid
FL1919096OtherMEDICAID WAIVER
FL1919097OtherMEDICAID WAIVER
FL1919097OtherMEDICAID WAIVER