Active NPI
Royal Homestar LLC
- Durable Medical Equipment & Medical Supplies
- Bethlehem, PA
National Provider Identifier
1003154352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ROYAL HOMESTAR LLC
- Practice address
- 2710 Emrick Blvd
Bethlehem, PA 18020-8012 - Phone
- (610) 882-8880
- NPI assigned
- Jan 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Russalesi
- Title
- Cco
- Phone
- (484) 246-9499
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
2710 Emrick Blvd
Bethlehem, PA 18020-8012
Mailing address
555 E North LN Ste 5075
Conshohocken, PA 19428-2490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102828277 0001 | Medicaid | PA |
Other names 1
- Young's Medical Equipment
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130517000309 | PA | DME Supplier - Medical Supply Company | 4082851688 | Practice locations: Bethlehem, PA |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Hatfield, PA
- NPI 1578906145
4082851688
-
- Durable Medical Equipment & Medical Supplies
- Hazle Township, PA
- NPI 1902350911
4082851688
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Royal Homestar LLC | Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|Negative Pressure Wound Therapy Pumps/Supp… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Royal Homestar LLC
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Bethlehem, PA
- NPI 1093058935
-
- Durable Medical Equipment & Medical Supplies
- Tamaqua, PA
- NPI 1801239470
-
- Durable Medical Equipment & Medical Supplies
- Hatfield, PA
- NPI 1578906145
-
- Durable Medical Equipment & Medical Supplies
- Lehighton, PA
- NPI 1780010389
-
- Oxygen Equipment & Supplies (DME)
- Stroudsburg, PA
- NPI 1841397049
-
- Durable Medical Equipment & Medical Supplies
- Hazle Township, PA
- NPI 1902350911
Member of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Allentown, PA
- NPI 1073898292
Member Of
Networks
- devoted network organization-ecc039f5-b2a0-481b-9642-4ad88d76e338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775779200000",
"number": "1003154352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E NORTH LN STE 5075",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 EMRICK BLVD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180208012",
"telephone_number": "610-882-8880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYAL HOMESTAR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-22",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A",
"authorized_official_last_name": "RUSSALESI",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "CCO",
"authorized_official_telephone_number": "484-246-9499"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102828277 0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Young's Medical Equipment",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.