Active NPI
Caregivers America Medical Supply, LLC
- Durable Medical Equipment & Medical Supplies
- Clarks Summit, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CAREGIVERS AMERICA MEDICAL SUPPLY, LLC
- Practice address
- 718 S State St
Clarks Summit, PA 18411-1749 - Phone
- (570) 586-8888
- Fax
- (570) 586-5225
- NPI assigned
- Aug 26, 2008
- Last updated
- Aug 26, 2019
- 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
- Ms. Mia Lenora Haney
- Title
- President
- Phone
- (570) 586-2222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
718 S State St
Clarks Summit, PA 18411-1749
Mailing address
718 S State St
Clarks Summit, PA 18411-1749
Phone (570) 586-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1022895740003 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
718 S State St
Clarks Summit, PA 18411
Phone (570) 586-2222
2101 Memorial Hwy
Dallas, PA 18612
Phone (570) 674-8500
1157 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (570) 826-1900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Homemaker
- Clarks Summit, PA
- NPI 1417487976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566777600000",
"number": "1669629119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 S STATE ST",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184111749",
"telephone_number": "570-586-8888",
"fax_number": "570-586-5225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 S STATE ST",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184111749",
"telephone_number": "570-586-8888",
"fax_number": "570-586-5225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREGIVERS AMERICA MEDICAL SUPPLY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-26",
"last_updated": "2019-08-26",
"status": "A",
"authorized_official_last_name": "HANEY",
"authorized_official_first_name": "MIA",
"authorized_official_middle_name": "LENORA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-586-2222",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1022895740003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarks Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.