Active NPI
Homecare Medical Supply Inc.
- Oxygen Equipment & Supplies (DME)
- Auburn, NY
National Provider Identifier
1508845660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00789762 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.