Active NPI
Palliative Home Care of Niagara, Inc.
- Durable Medical Equipment & Medical Supplies
- Niagara Falls, NY
National Provider Identifier
1487931093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11152001 | Other | NY | NY STATE LICENSE |
| 03498919 | Medicaid | NY |
Other names 1
- Liberty Home Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120620000106 | NY | DME Supplier - Medical Supply Company | 1153223615 | Practice locations: Niagara Falls, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Palliative Home Care of Niagara, in | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Liberty Home Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Niagara Falls, NY
- NPI 1821795105
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.