Active NPI
Huber Medical LLC
Doing business as Community Home Medical
- Durable Medical Equipment & Medical Supplies
- Youngstown, OH
National Provider Identifier
1346236635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HUBER MEDICAL LLC
- Doing business as
- Community Home Medical
- Practice address
- 60 N Canfield Niles Rd Ste 500
Youngstown, OH 44515-2338 - Phone
- (330) 629-9500
- Fax
- (330) 259-0326
- NPI assigned
- Sep 22, 2005
- Last updated
- Nov 7, 2022
- Organization subpart
- Yes
- Parent organization
- HUBER MEDICAL LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Pitzulo
- Title
- Director
- Phone
- (330) 629-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
60 N Canfield Niles Rd Ste 500
Youngstown, OH 44515-2338
Mailing address
60 N Canfield Niles Rd Ste 500
Youngstown, OH 44515-2338
Phone (330) 629-9500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2218353 | Medicaid | OH | |
| 3670432 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- COMMUNITY HOME MEDICAL
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930028629 | OH | DME Supplier - Medical Supply Company | 2163534587 | Practice locations: Youngstown, OH |
National Provider Directory
National Provider Directory- Tax ID family
- Huber Medical LLC
- Part of
- Huber Medical LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Community Home Medical
- Oxygen Equipment & Supplies (DME)
- Warren, OH
- NPI 1255571246
Locations
8051 Market St
Ste 2
Boardman, OH 44512
Phone (330) 629-9500
60 N Canfield Niles Rd
Ste 500
Youngstown, OH 44515
Phone (330) 629-9500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667779200000",
"number": "1346236635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 N CANFIELD NILES RD STE 500",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445152338",
"telephone_number": "330-629-9500",
"fax_number": "330-259-0326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 N CANFIELD NILES RD STE 500",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445152338",
"telephone_number": "330-629-9500",
"fax_number": "330-259-0326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUBER MEDICAL LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HUBER MEDICAL LLC",
"enumeration_date": "2005-09-22",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A",
"authorized_official_last_name": "PITZULO",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "330-629-9500"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2218353",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3670432",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "COMMUNITY HOME MEDICAL",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "COMMUNITY HOME MEDICAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.