Active NPI
Extended Care Air Therapy Systems, Inc
- Durable Medical Equipment & Medical Supplies
- Roseville, OH
National Provider Identifier
1699771253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- EXTENDED CARE AIR THERAPY SYSTEMS, INC
- Practice address
- 7165 Payne Rd
Roseville, OH 43777-9711 - Phone
- (740) 697-0845
- NPI assigned
- Jun 28, 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
- Jerry May
- Title
- President
- Phone
- (740) 607-0845
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
7165 Payne Rd
Roseville, OH 43777-9711
Mailing address
PO Box 25
Roseville, OH 43777-0025
Phone (740) 697-0845
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0786261 | Medicaid | OH | |
| 4253068 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1699771253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25",
"city": "ROSEVILLE",
"state": "OH",
"postal_code": "437770025",
"telephone_number": "740-697-0845",
"fax_number": "740-697-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7165 PAYNE RD",
"city": "ROSEVILLE",
"state": "OH",
"postal_code": "437779711",
"telephone_number": "740-697-0845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXTENDED CARE AIR THERAPY SYSTEMS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MAY",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "740-607-0845"
},
"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": "0786261",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4253068",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.