Huber Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

15-048251 Issued in OH

Legal business name

HUBER MEDICAL LLC

Practice address

60 N Canfield Niles Rd Ste 500
Youngstown, OH 44515-2338

Phone

(330) 629-9500

Fax

(330) 259-0326

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly Ann Pitzulo

Title

Executive Director

Phone

(330) 629-9500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• COMMUNITY HOME MEDICAL Doing business as

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1366599375",
    "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": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "PITZULO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-629-9500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "15-048251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2218353",
            "state": "OH"
        }
    ],
    "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"
        }
    ]
}

• Darren Hoyt
• Gregory S Huang, MD
• Dannielle Hubbert
• Jennifer Hubbert
• Huber Medical LLC
• Michaela Marie Huber
• Miranda Hubler, MOT, OTR/L
• Peggy Hudak
• William Hudak Jr.
• Charles W. Hudson

• Durable Medical Equipment & Medical Supplies in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.