Second Wind Enterprises, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

SECOND WIND ENTERPRISES, INC.

Doing business as

Second Wind Respiratory Care

Practice address

5221A Militia Hill Rd
Plymouth Meeting, PA 19462-1216

Phone

(610) 941-4555

Fax

(610) 941-4557

NPI assigned

Aug 23, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Naomi Roufs Edwards

Title

Owner/Vice President

Phone

(949) 640-0330

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Second Wind Respiratory Care Doing business as

Locations

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1295728434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221A MILITIA HILL RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621216",
            "telephone_number": "610-941-4555",
            "fax_number": "610-941-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221A MILITIA HILL RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621216",
            "telephone_number": "610-941-4555",
            "fax_number": "610-941-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND WIND ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "ROUFS",
        "authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "949-640-0330",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "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": "6376002",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000553316",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01450528",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Second Wind Respiratory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyra Scott, GNA
• Helene Kristen Scottel-Nichols, LPN
• Gemeena Scruggs, CPHT
• Melissa Sebest
• Adanech Sebsibe
• Chastity Anushka Seepersad
• Ana Seguinot
• Cynthia Seibert
• Shirley Seip, LPN
• Denice Seitz, LPN

• Oxygen Equipment & Supplies (DME) in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Oxygen Equipment & Supplies (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.