Active NPI
Northshore Respiratory and Rehab Specialties, Inc
- Oxygen Equipment & Supplies (DME)
- Slidell, LA
National Provider Identifier
1669470118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- CRT.LT1901
- Legal business name
- NORTHSHORE RESPIRATORY AND REHAB SPECIALTIES, INC
- Practice address
- 1222 Fremaux Ave Ste a
Slidell, LA 70458-8398 - Phone
- (985) 244-2621
- Fax
- (985) 781-2345
- NPI assigned
- Jul 8, 2005
- 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
- Wendy Russalesi
- Title
- Cco
- Phone
- (484) 246-9499
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | CRT.LT1901 | LA | Primary |
Addresses
Primary practice location
1222 Fremaux Ave Ste a
Slidell, LA 70458-8398
Mailing address
555 E North LN Ste 5075
Conshohocken, PA 19428-2490
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7716301 | Other | LA | AETNA |
| 1100277 | Medicaid | LA | |
| 00440889 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930016154 | LA | DME Supplier - Medical Supply Company | 3173635562 | Practice locations: Slidell, LA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Northshore Respiratory and Rehab SP | 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|Negative Pressure Wound Therapy Pumps/Supp… | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- New York, NY
- NPI 1003239740
Member Of
Locations
1222 Fremaux Ave
Ste A
Slidell, LA 70458
Phone (985) 781-4050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Santa Ana, CA
- NPI 1639900087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787011200000",
"number": "1669470118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E NORTH LN STE 5075",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 FREMAUX AVE STE A",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704588398",
"telephone_number": "985-244-2621",
"fax_number": "985-781-2345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHSHORE RESPIRATORY AND REHAB SPECIALTIES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-08",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A",
"authorized_official_last_name": "RUSSALESI",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "CCO",
"authorized_official_telephone_number": "484-246-9499"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "LA",
"license": "CRT.LT1901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7716301",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1100277",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00440889",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
- Northshore Pathology Services Apmc
- Northshore Physical Therapy
- Northshore Regional Medical Center Dba the Surgery Suite
- Northshore Regional Medical Center, LLC
- Northshore Regional Medical Center, LLC
- Northshore Therapy Center, LLC
- Northshore Therapy Center, LLC
- Nourish Wellness LLC
- Hannah Marie Nuccio
- Nursing Home Psychological Services of Louisiana LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.