Organization Active NPI

Caregivers America Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Clarks Summit, PA
National Provider Identifier
1669629119
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Authorized official

Name
Ms. Mia Lenora HaneyNPI 1417487976
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1022895740003MedicaidPA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.