Organization Active NPI

Palliative Home Care of Niagara, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Niagara Falls, NY
National Provider Identifier
1487931093
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PALLIATIVE HOME CARE OF NIAGARA, INC.
Practice address
2424 Niagara Falls Blvd
Niagara Falls, NY 14304-4562
Phone
(716) 274-5000
Fax
(716) 731-1725
NPI assigned
Nov 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Mr. John Louis Lomeo
Title
Ceo
Phone
(716) 439-4417

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

2424 Niagara Falls Blvd
Niagara Falls, NY 14304-4562

Mailing address

2424 Niagara Falls Blvd
Niagara Falls, NY 14304-4562
Phone (716) 274-5000

Other identifiers 2

IdentifierTypeStateIssuer
11152001OtherNYNY STATE LICENSE
03498919MedicaidNY

Other names 1

  • Liberty Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120620000106 NY DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 1153223615 Practice locations: Niagara Falls, NY

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
Palliative Home Care of Niagara, in2424 Niagara Falls Blvd, Niagara Falls, NY 14304-4562(716) 274-5000 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and… Does not accept assignmentParticipating since Jan 1, 2005

National Provider Directory

National Provider Directory
Tax ID family
Liberty Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1487931093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 NIAGARA FALLS BLVD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044562",
            "telephone_number": "716-274-5000",
            "fax_number": "716-731-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 NIAGARA FALLS BLVD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044562",
            "telephone_number": "716-274-5000",
            "fax_number": "716-731-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLIATIVE HOME CARE OF NIAGARA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "LOMEO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-439-4417",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "11152001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03498919",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Liberty Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.