Organization Active NPI

Franciscan Health Support, Inc

  • Oxygen Equipment & Supplies (DME)
  • North Syracuse, NY
National Provider Identifier
1194902544
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
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 SUPPORTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03379980MedicaidNY

Other names 1

  • Franciscan Health Support Doing business as

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.

Verify at the official NPI Registry.