NPIMap

Organization Active NPI

American Homecare Supply Co

  • Durable Medical Equipment & Medical Supplies
  • Wilkes Barre, PA
National Provider Identifier
1215911581
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AMERICAN HOMECARE SUPPLY CO
Practice address
150 Mundy St
Mac IV Building
Wilkes Barre, PA 18702-6830
Phone
(570) 825-7600
Fax
(570) 825-7640
NPI assigned
Dec 1, 2005
Last updated
Jan 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Richard L Parra
Title
President
Phone
(570) 961-0155

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 3000007810 PA

Addresses

Primary practice location

150 Mundy St
Mac IV Building
Wilkes Barre, PA 18702-6830

Mailing address

4113 Birney Ave
Moosic, PA 18507-1301
Phone (570) 961-0155

Other identifiers 1

IdentifierTypeStateIssuer
0016726890009MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
American Homecare Supply Co4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1215911581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 BIRNEY AVE",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071301",
            "telephone_number": "570-961-0155",
            "fax_number": "570-961-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MUNDY ST",
            "address_2": "MAC IV BUILDING",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026830",
            "telephone_number": "570-825-7600",
            "fax_number": "570-825-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HOMECARE SUPPLY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "PARRA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-961-0155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PA",
            "license": "3000007810",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016726890009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.