Organization Active NPI

Twin Rivers Respiratory Care, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Camden, AR
National Provider Identifier
1104867407
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
TWIN RIVERS RESPIRATORY CARE, INC.
Practice address
136 Garden Oaks Dr SW
Camden, AR 71701-3713
Phone
(870) 836-4477
Fax
(870) 836-4478
NPI assigned
Jun 9, 2006
Organization subpart
Yes
Parent organization
AEROCARE HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

136 Garden Oaks Dr SW
Camden, AR 71701-3713

Mailing address

220 W Germantown Pike Ste 250
Plymouth Meeting, PA 19462-1437
Phone (610) 424-4515

Other identifiers 2

IdentifierTypeStateIssuer
152490716MedicaidAR
49878OtherBLUE CROSS BLUE SHIELD

Other names 1

  • Ouachita Valley Respiratory Care Doing business as

National Provider Directory

National Provider Directory
Part of
Adapthealth West LLC

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1104867407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W GERMANTOWN PIKE STE 250",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621437",
            "telephone_number": "610-424-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 GARDEN OAKS DR SW",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717013713",
            "telephone_number": "870-836-4477",
            "fax_number": "870-836-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN RIVERS RESPIRATORY CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AEROCARE HOLDINGS LLC",
        "enumeration_date": "2006-06-09",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "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": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152490716",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "49878",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ouachita Valley Respiratory Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ouachita Valley Respiratory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.