Organization Active NPI

Huber Medical LLC

Doing business as Community Home Medical

  • Durable Medical Equipment & Medical Supplies
  • Youngstown, OH
National Provider Identifier
1346236635
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
HUBER MEDICAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2218353MedicaidOH
3670432OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • COMMUNITY HOME MEDICAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930028629 OH DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Respiratory Therapist 2163534587 Practice locations: Youngstown, OH

National Provider Directory

National Provider Directory
Tax ID family
Huber Medical LLC2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.