Active NPI
Twin Rivers Respiratory Care, Inc.
- Oxygen Equipment & Supplies (DME)
- Camden, AR
National Provider Identifier
1104867407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- 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 LLC
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 | |||
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152490716 | Medicaid | AR | |
| 49878 | Other | BLUE CROSS BLUE SHIELD |
Other names 1
- Ouachita Valley Respiratory Care
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.
-
- Durable Medical Equipment & Medical Supplies
- Colorado Springs, CO
- NPI 1982298345
Member Of
-
- Oxygen Equipment & Supplies (DME)
- Colorado Springs, CO
- NPI 1912947383
Member Of
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.