Beacon Respiratory Services of Georgia Inc.

Organization Active NPI Oxygen Equipment & Supplies (DME) · Cayce, SC

NPI 1548596802 · NPPES record last updated Oct 13, 2025

Key facts

NPI
1548596802
Entity type
Organization (NPI type 2)
Primary specialty
Oxygen Equipment & Supplies (DME) 332BX2000X
Legal business name
BEACON RESPIRATORY SERVICES OF GEORGIA INC.
Practice address
1323 State St
Cayce, SC 29033
Phone
(803) 939-7008
Fax
(803) 939-7006
NPI assigned
Oct 21, 2009
Organization subpart
Yes
Parent organization (as reported)
AEROCARE HOLDINGS LLC

Authorized official

Name
Wendy Russalesi
Title
Cco
Phone
(484) 246-9499

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 4

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

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Beacon Respiratory Services of Geor
1323 State St, Cayce, SC 29033-4344 · (803) 939-7008
Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|External Infusion Pumps and/or Supplies|Ne… Does not accept assignment
Participating since Jan 7, 2002

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930057800 SC DME Supplier - Medical Supply Company
DME Supplier - Oxygen & Equipment
9335351030 Practice locations: Cayce, SC

National Provider Directory

Tax ID family
Beacon Respiratory Services of Georgia Inc (5 organizations share this tax ID)
Part of
Adapthealth West LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X SC Yes

Addresses

Primary practice location

1323 State St
Cayce, SC 29033

Mailing address

555 E North LN Ste 5075
Conshohocken, PA 19428-2490

Other identifiers

IdentifierTypeStateIssuer
DE3345MedicaidSC

Other names

  • AeroCare Doing business as

Other providers in Cayce, SC

All providers in Cayce, SC · Oxygen Equipment & Supplies (DME) in South Carolina

Sources for this page

Verify at the official NPI Registry.