Active NPI
Desloge Home Oxygen and Medical Equipment, Inc.
- Oxygen Equipment & Supplies (DME)
- Tallahassee, FL
National Provider Identifier
1164412664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 326429
- Legal business name
- DESLOGE HOME OXYGEN AND MEDICAL EQUIPMENT, INC.
- Practice address
- 1611 Jaydell Cir
Tallahassee, FL 32308 - Phone
- (850) 656-8900
- Fax
- (850) 942-0220
- NPI assigned
- Oct 26, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 326429 | FL | Primary |
Addresses
Primary practice location
1611 Jaydell Cir
Tallahassee, FL 32308
Mailing address
555 E North LN Ste 5075
Conshohocken, PA 19428-2490
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 671041701 | Medicaid | FL | |
| 009315800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930100459 | FL | DME Supplier - Medical Supply Company | 5496873556 | Practice locations: Tallahassee, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Desloge Home Oxygen & Med Equip Inc | Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|External Infusion Pumps and/or Supplies|Negative Pressure Wound Therapy Pumps/Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|… | Does not accept assignment |
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
Locations
1611 Jaydell Cir
Tallahassee, FL 32308
Phone (850) 656-8900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760313600000",
"number": "1164412664",
"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": "1611 JAYDELL CIR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32308",
"telephone_number": "850-656-8900",
"fax_number": "850-942-0220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESLOGE HOME OXYGEN AND MEDICAL EQUIPMENT, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AEROCARE HOLDINGS LLC",
"enumeration_date": "2005-10-26",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"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": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "FL",
"license": "326429",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "671041701",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009315800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.