Organization Active NPI

Kinney Homecare Equipment and Supplies, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Plattsburgh, NY
National Provider Identifier
1467483669
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
KINNEY HOMECARE EQUIPMENT AND SUPPLIES, INC.
Practice address
288 Cornelia St Ste 2
Plattsburgh, NY 12901-2303
Phone
(518) 566-6445
Fax
(518) 566-9875
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

288 Cornelia St Ste 2
Plattsburgh, NY 12901-2303

Mailing address

PO Box 27
21087 Nys RT 12F
Watertown, NY 13601-0027
Phone (315) 788-8280

Other identifiers 1

IdentifierTypeStateIssuer
02918087MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930038625 NY DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 9537286232 Practice locations: Plattsburgh, NY

Other NPIs with the same Medicare PAC ID 2

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
Kinney Homecare Equipment and Suppl288 Cornelia St, Plattsburgh, NY 12901-2303(518) 566-6445 Commodes, Urinals, Bedpans|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Ultraviolet Light Devices and/or Supplie… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
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.

Member of 1

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

Locations

288 Cornelia St
Ste 2
Plattsburgh, NY 12901
Phone (518) 566-6445

206 Tom Miller Rd
Plattsburgh, NY 12901
Phone (518) 566-6445

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1467483669",
    "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": "288 CORNELIA ST STE 2",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012303",
            "telephone_number": "518-566-6445",
            "fax_number": "518-566-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINNEY HOMECARE EQUIPMENT AND SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "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": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02918087",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.