Kinney Homecare Equipment and Supplies, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

KINNEY HOMECARE EQUIPMENT AND SUPPLIES, INC.

Practice address

6598 State Highway 56
Potsdam, NY 13676-3510

Phone

(315) 265-1161

Fax

(315) 265-0861

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Debra V Barber

Title

VP Managed Care Contracting & Payor

Phone

(315) 413-7800

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Kinney Homecare Equipment and Supplies, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Plattsburgh, NY
  • NPI 1467483669

  9537286232

  Same PAC ID
• Kinney Homecare Equipment and Supplies, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Watertown, NY
  • NPI 1720089089

  9537286232

  Same PAC ID

Tax ID family

Kinney Homecare Equipment and Supplies Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Kinney Homecare Equipment and Supplies, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Plattsburgh, NY
  • NPI 1467483669
  NPD tax ID
• Kinney Homecare Equipment and Supplies, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Watertown, NY
  • NPI 1720089089
  NPD tax ID

Member of 1

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

• KPH Healthcare Services Inc

  dba Kinney Drugs #152

  • Community/Retail Pharmacy
  • Springfield, VT
  • NPI 1891686549

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356363345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "address_2": "21087 NYS RT 12F",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136010027",
            "telephone_number": "315-788-8280",
            "fax_number": "315-785-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6598 STATE HIGHWAY 56",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136763510",
            "telephone_number": "315-265-1161",
            "fax_number": "315-265-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINNEY HOMECARE EQUIPMENT AND SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "VP MANAGED CARE CONTRACTING & PAYOR",
        "authorized_official_telephone_number": "315-413-7800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02837772",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica A Kelley, RN
• Trevor Kench, LPN
• Michelle L Kent, RPA-C
• Keystone America, Inc. (Garner)
• John Ho Kim, MD
• Brent S. Knight, P.T., O.M.P.T
• Terry Howland Knowles, DO
• KPH Healthcare Services, Inc. (Kinney Drugs #17)
• KPH Healthcare Services, Inc. (Kinney Drugs #91)
• Katelynne Marie Kulp, RN

• Oxygen Equipment & Supplies (DME) in Potsdam, NY
• Providers in Potsdam, NY by specialty
• Oxygen Equipment & Supplies (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.