Active NPI
Franciscan Health Support, Inc
- Oxygen Equipment & Supplies (DME)
- North Syracuse, NY
National Provider Identifier
1194902544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- FRANCISCAN HEALTH SUPPORT, INC
- Practice address
- 300 Gateway Park Dr
North Syracuse, NY 13212-3755 - Phone
- (315) 458-3200
- Fax
- (315) 452-9502
- NPI assigned
- Jan 29, 2008
- Organization subpart
- Yes
- Parent organization
- FRANCISCAN HEALTH SUPPORT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel T Carelli
- Title
- Executive Director of Operations
- Phone
- (315) 458-3600
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
300 Gateway Park Dr
North Syracuse, NY 13212-3755
Mailing address
333 Butternut Dr
Suite 100
De Witt, NY 13214-2141
Phone (315) 458-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03379980 | Medicaid | NY |
Other names 1
- Franciscan Health Support
National Provider Directory
National Provider Directory- Part of
- Franciscan HLTH Support
Locations
300 Gateway Park Dr
North Syracuse, NY 13212
Phone (315) 458-3200
333 Butternut Dr
Ste 100
Syracuse, NY 13214
945 E Genesee St
Syracuse, NY 13210
Phone (315) 458-3200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352073600000",
"number": "1194902544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 BUTTERNUT DR",
"address_2": "SUITE 100",
"city": "DE WITT",
"state": "NY",
"postal_code": "132142141",
"telephone_number": "315-458-3600",
"fax_number": "315-458-2760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 GATEWAY PARK DR",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132123755",
"telephone_number": "315-458-3200",
"fax_number": "315-452-9502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANCISCAN HEALTH SUPPORT, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRANCISCAN HEALTH SUPPORT",
"enumeration_date": "2008-01-29",
"last_updated": "2012-11-05",
"status": "A",
"authorized_official_last_name": "CARELLI",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "315-458-3600",
"authorized_official_name_prefix": "Mr."
},
"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": "03379980",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Franciscan Health Support",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.