Frank a Rezk

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FRANK A REZK

Doing business as

Penn Home Medical Supply Co.,LLC

Practice address

1704 Philadelphia Ave
Northern Cambria, PA 15714-1180

Phone

(814) 948-2058

Fax

(814) 948-7139

NPI assigned

Aug 16, 2006

Last updated

Feb 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Frank A Rezk

Title

Owner/President

Phone

(814) 471-0627

Specialties & licenses 6

Addresses

Other identifiers 6

Other names 1

• Penn Home Medical Supply Co.,LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Frank a Rezk

  dba Penn Home Medical Supply Co.

  • Durable Medical Equipment & Medical Supplies
  • Ebensburg, PA
  • NPI 1841482452

  9830210343

  Same PAC ID

These 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

Tax ID family

Frank a Rezk3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Frank a Rezk

  dba Penn Home Medical Supply Co.

  • Durable Medical Equipment & Medical Supplies
  • Ebensburg, PA
  • NPI 1841482452
  NPD tax ID
• Penn Home Medical Supply Co., LLC

  • Durable Medical Equipment & Medical Supplies
  • Pittsburgh, PA
  • NPI 1316139926
  NPD tax ID

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1619080660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 INDUSTRIAL PARK RD",
            "address_2": "PO BOX 337",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314111",
            "telephone_number": "814-471-0627",
            "fax_number": "814-471-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 PHILADELPHIA AVE",
            "city": "NORTHERN CAMBRIA",
            "state": "PA",
            "postal_code": "157141180",
            "telephone_number": "814-948-2058",
            "fax_number": "814-948-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK A REZK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "REZK",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "814-471-0627",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "040020700",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "152805",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1535665",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017226640002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1505986",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "297884",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Home Medical Supply Co.,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Corio, FNP
• Merlene Dionne Dacres, HOME HEALTH
• Macey Davison
• Jessica Teresa Dively
• Duane Dumm, DPM
• Tammy Lorraine Gearhart, PHARMD
• Zachary Arthur Gobert
• Health Ride Plus, Inc.
• Brianne Hilger, LPC
• Heather Hudson

• Durable Medical Equipment & Medical Supplies in Northern Cambria, PA
• Providers in Northern Cambria, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.

Verify at the official NPI Registry.