Organization Active NPI

Homecare Medical Supply Inc.

  • Oxygen Equipment & Supplies (DME)
  • Auburn, NY
National Provider Identifier
1508845660
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
HOMECARE MEDICAL SUPPLY INC.
Practice address
337 W Genesee St
Auburn, NY 13021-3103
Phone
(315) 255-3110
Fax
(315) 258-8680
NPI assigned
Jan 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Joseph M. Manning
Title
President
Phone
(315) 255-3110

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Oxygen Equipment & Supplies (DME) 332BX2000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

337 W Genesee St
Auburn, NY 13021-3103

Mailing address

337 W Genesee St
Auburn, NY 13021-3103
Phone (315) 255-3110

Other identifiers 1

IdentifierTypeStateIssuer
00789762MedicaidNY

National Provider Directory

National Provider Directory

Locations

337 W Genesee St
Auburn, NY 13021
Phone (315) 255-3110

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1508845660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 W GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213103",
            "telephone_number": "315-255-3110",
            "fax_number": "315-258-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 W GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213103",
            "telephone_number": "315-255-3110",
            "fax_number": "315-258-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-255-3110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00789762",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

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

Verify at the official NPI Registry.