NPIMap

Organization Active NPI

Beacon Respiratory Services, Inc.

Doing business as Alliance Oxygen & Medical Equipment

  • Oxygen Equipment & Supplies (DME)
  • North Port, FL
National Provider Identifier
1144324245
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
324773 Issued in FL
Legal business name
BEACON RESPIRATORY SERVICES, INC.
Doing business as
Alliance Oxygen & Medical Equipment
Practice address
4757 E Price Blvd, Units 5 & 6
Unit 105
North Port, FL 34288-1829
Phone
(941) 423-4664
Fax
(866) 516-3747
NPI assigned
Sep 11, 2006
Organization subpart
Yes
Parent organization
AEROCARE HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

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 6880135741432 FL
Oxygen Equipment & Supplies (DME) 332BX2000X 324773 FL Primary

Addresses

Primary practice location

4757 E Price Blvd, Units 5 & 6
Unit 105
North Port, FL 34288-1829

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
000728600MedicaidFL
008347700MedicaidFL

Other names 1

  • Alliance Oxygen & Medical Equipment Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930004780 FL DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 2860605185 Practice locations: North Port, FL

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Beacon Respiratory Services, Inc4757 E Price Blvd, Units 5 & 6, North Port, FL 34288-1829(941) 423-4664 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 assignmentParticipating since Mar 7, 2002

National Provider Directory

National Provider Directory
Tax ID family
Beacon Respiratory Services of Alabama Inc9 organizations share this tax ID, including this one
Part of
Adapthealth West LLC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

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

Locations

4757 E Price Blvd
Unit 56
North Port, FL 34288

4757 E Price Blvd
Unit 105
North Port, FL 34288
Phone (941) 423-4664

4757 E Price Blvd
North Port, FL 34288

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760227200000",
    "number": "1144324245",
    "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": "4757 E PRICE BLVD, UNITS 5 & 6",
            "address_2": "UNIT 105",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342881829",
            "telephone_number": "941-423-4664",
            "fax_number": "866-516-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON RESPIRATORY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AEROCARE HOLDINGS LLC",
        "enumeration_date": "2006-09-11",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "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": "FL",
            "license": "6880135741432",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "324773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000728600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008347700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Oxygen & Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alliance Oxygen & Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2025; 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.