Active NPI
Homestar Med Equip & Inf SVS
- Durable Medical Equipment & Medical Supplies
- North Wales, PA
National Provider Identifier
1508025586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1000002573
- Legal business name
- HOMESTAR MED EQUIP & INF SVS
- Practice address
- 1200 Welsh Rd
Store M
North Wales, PA 19454-3771 - Phone
- (215) 361-9794
- NPI assigned
- Jun 5, 2008
- 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. Dominick Desarro
- Title
- Administrator
- Phone
- (610) 419-7610
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1000002573 | PA | Primary |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 1000002573 | PA | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 1000002573 | PA |
Addresses
Primary practice location
1200 Welsh Rd
Store M
North Wales, PA 19454-3771
Mailing address
77 S Commerce Way
Bethlehem, PA 18017-8917
Phone (610) 419-7600
National Provider Directory
National Provider Directory- Tax ID family
- Homestar Med Equip Inf SVS
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Bethlehem, PA
- NPI 1699775478
-
- Home Infusion Agency
- Bethlehem, PA
- NPI 1134197874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212624000000",
"number": "1508025586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 S COMMERCE WAY",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180178917",
"telephone_number": "610-419-7600",
"fax_number": "610-882-9105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 WELSH RD",
"address_2": "STORE M",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194543771",
"telephone_number": "215-361-9794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMESTAR MED EQUIP & INF SVS",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-05",
"last_updated": "2008-06-05",
"status": "A",
"authorized_official_last_name": "DESARRO",
"authorized_official_first_name": "DOMINICK",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "610-419-7610",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": "1000002573",
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "PA",
"license": "1000002573",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "PA",
"license": "1000002573",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Wales, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.