NPIMap

Organization Active NPI

Vantage DME LLC

  • Oxygen Equipment & Supplies (DME)
  • Titusville, PA
National Provider Identifier
1295737567
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
VANTAGE DME LLC
Practice address
602 W Central Ave
Titusville, PA 16354-2152
Phone
(814) 677-5794
Fax
(814) 677-5798
NPI assigned
Jun 1, 2005
Organization subpart
Yes
Parent organization
VANTAGE DMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Michelle Kaste
Title
Cfo
Phone
(814) 337-0000

Specialties & licenses 2

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

Addresses

Primary practice location

602 W Central Ave
Titusville, PA 16354-2152

Mailing address

1305 S Main St
Meadville, PA 16335-3036
Phone (814) 337-0000

Other names 1

  • Vantage Home Medical Equipment and Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930018509 PA DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 8527188622 Practice locations: Titusville, PA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Vantage Home Medical Equipment602 W Central Ave, Titusville, PA 16354-2152(814) 677-5794 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Gastric Suction Pumps|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment… Does not accept assignmentParticipating since Jan 1, 1995

National Provider Directory

National Provider Directory
Tax ID family
Vantage DME7 organizations share this tax ID, including this one
Part of
Vantage DME

Other organizations with this tax ID 6

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

Member of 5

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1283 Liberty St
Franklin, PA 16323
Phone (814) 337-0000

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1295737567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 S MAIN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353036",
            "telephone_number": "814-337-0000",
            "fax_number": "814-336-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W CENTRAL AVE",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163542152",
            "telephone_number": "814-677-5794",
            "fax_number": "814-677-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE DME LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VANTAGE DME",
        "enumeration_date": "2005-06-01",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "KASTE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-337-0000"
    },
    "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": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vantage Home Medical Equipment and Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Titusville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.