Organization Active NPI

Total Homecare LLC

  • Oxygen Equipment & Supplies (DME)
  • Petersburg, VA
National Provider Identifier
1124021720
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0206008302 Issued in VA
Legal business name
TOTAL HOMECARE LLC
Practice address
3333 S Crater Rd
Ste 5
Petersburg, VA 23805
Phone
(804) 861-1606
Fax
(804) 862-1254
NPI assigned
May 27, 2005
Organization subpart
Yes
Parent organization
ADAPTHEALTH WEST, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 0206008302 VA
Oxygen Equipment & Supplies (DME) 332BX2000X 0206008302 VA Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

3333 S Crater Rd
Ste 5
Petersburg, VA 23805

Mailing address

555 E North LN Ste 5075
Conshohocken, PA 19428-2490

Other identifiers 1

IdentifierTypeStateIssuer
009108408MedicaidVA

Other names 2

  • AdaptHealth Doing business as
  • Clay Home Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930026426 VA DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 1759409220 Practice locations: Petersburg, VA

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Total Homecare LLC3333 S Crater Rd, Petersburg, VA 23805-9276(804) 200-7190 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|External Infusion Pumps and/or Supplies|Ne… Does not accept assignmentParticipating since Jan 1, 1998

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.

Locations

3333 S Crater Rd
Ste 5
Petersburg, VA 23805
Phone (804) 861-1606

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1124021720",
    "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": "3333 S CRATER RD",
            "address_2": "STE 5",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23805",
            "telephone_number": "804-861-1606",
            "fax_number": "804-862-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HOMECARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADAPTHEALTH WEST, LLC",
        "enumeration_date": "2005-05-27",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "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": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "VA",
            "license": "0206008302",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "VA",
            "license": "0206008302",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009108408",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdaptHealth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clay Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.