Americoast Maryland LLC
Organization Active NPI Oxygen Equipment & Supplies (DME) · Middle River, MD
NPI 1154434819 · NPPES record last updated Dec 12, 2025
Key facts
- NPI
- 1154434819
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oxygen Equipment & Supplies (DME) 332BX2000X
- License
- R2267 (MD)
- Legal business name
- AMERICOAST MARYLAND LLC
- Practice address
- 1310 Innovation St Ste H-L
Middle River, MD 21220-2179 - Phone
- (410) 202-2784
- Fax
- (410) 918-0633
- NPI assigned
- Aug 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Wendy Russalesi
- Title
- Cco
- Phone
- (484) 246-9499
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Member of 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Americoast Maryland 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 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930035835 | MD | DME Supplier - Medical Supply Company |
9436369360 | Practice locations: Middle River, MD |
National Provider Directory
- Tax ID family
- Americoast Maryland LLC
Locations
9321 Philadelphia Rd
Ste Kl
Rosedale, MD 21237
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | R2267 | MD | Yes |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | D01734 | MD |
Addresses
Primary practice location
1310 Innovation St Ste H-L
Middle River, MD 21220-2179
Mailing address
555 E North LN Ste 5075
Conshohocken, PA 19428-2490
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037170300 | Medicaid | DC | |
| 407399100 | Medicaid | MD |
Other providers in Middle River, MD
- Victor A Akinyemi
- Akinwumi Alao
- Bernard Amalimeh
- Amazin Recovery Treatment Services
- Ambassadors Healthcare Services Inc.
- Ameshicares Inc
- Michaeleen Kennedy Anderson
- Candice Ann Angelilli
- Chisom Anyanwu
- Stella Aroh
All providers in Middle River, MD · Oxygen Equipment & Supplies (DME) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.