Organization Active NPI

Professional Home Care Services,Inc

  • Oxygen Equipment & Supplies (DME)
  • Cromwell, CT
National Provider Identifier
1285639914
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
N/A Issued in CT
Legal business name
PROFESSIONAL HOME CARE SERVICES,INC
Practice address
106 Sebethe Dr
Cromwell, CT 06416-1094
Phone
(800) 253-3738
NPI assigned
Jun 17, 2005
Organization subpart
Yes
Parent organization
BIOSCRIP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Michael Shapiro
Title
President & Cfo
Phone
(800) 879-6137

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X N/A CT Primary

Addresses

Primary practice location

106 Sebethe Dr
Cromwell, CT 06416-1094

Mailing address

PO Box 418711 Suite 700
Boston, MA 02241-8711
Phone (800) 879-6137

Other identifiers 5

IdentifierTypeStateIssuer
SHD.CT.0005835OtherCTBEDDING/UPHOLSTERED LICENSE
STP.CT.0002044OtherCTSTERILIZATION BEDDING LICENSE
CSW.0000666OtherCTWHOLESALER LICENSE
DEV.0007169OtherCTDEVICE REGISTRATION
004104957MedicaidCT

Other names 1

  • BioScrip Medical Services Doing business as

National Provider Directory

National Provider Directory
Part of
Bioscrip Inc

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

216 Christian Ln
Berlin, CT 06037
Phone (860) 829-4242

106 Sebethe Dr
Cromwell, CT 06416
Phone (800) 253-3738

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1285639914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418711 SUITE 700",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022418711",
            "telephone_number": "800-879-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SEBETHE DR",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161094",
            "telephone_number": "800-253-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME CARE SERVICES,INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIOSCRIP, INC.",
        "enumeration_date": "2005-06-17",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT & CFO",
        "authorized_official_telephone_number": "800-879-6137"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CT",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEDDING/UPHOLSTERED LICENSE",
            "identifier": "SHD.CT.0005835",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERILIZATION BEDDING LICENSE",
            "identifier": "STP.CT.0002044",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WHOLESALER LICENSE",
            "identifier": "CSW.0000666",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVICE REGISTRATION",
            "identifier": "DEV.0007169",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004104957",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BioScrip Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cromwell, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.