Active NPI
Defelicecare, Inc.
- Oxygen Equipment & Supplies (DME)
- Uniontown, PA
National Provider Identifier
1700902657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 82042591
- Legal business name
- DEFELICECARE, INC.
- Practice address
- 688 W Main St
Uniontown, PA 15401-2648 - Phone
- (724) 438-0830
- Fax
- (724) 438-1076
- NPI assigned
- Mar 22, 2007
- 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
- Leslie P Defelice
- Title
- President & Ceo
- Phone
- (304) 232-4210
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 82042591 | PA | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 82042591 | PA | Primary |
Addresses
Primary practice location
688 W Main St
Uniontown, PA 15401-2648
Mailing address
76 Sixteenth St
200
Wheeling, WV 26003-0618
Phone (304) 232-4210
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241170 | Other | PA | HIGHMARK BCBS |
| 1007375850010 | Medicaid | PA | |
| C08501970 | Other | WV | MEDICARE SUBMITTER ID |
Other names 1
- DEFELICE MOBILITY
National Provider Directory
National Provider DirectoryLocations
688 W Main St
Uniontown, PA 15401
Phone (724) 438-0830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343865600000",
"number": "1700902657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 SIXTEENTH ST",
"address_2": "200",
"city": "WHEELING",
"state": "WV",
"postal_code": "260030618",
"telephone_number": "304-232-4210",
"fax_number": "304-232-4213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "688 W MAIN ST",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154012648",
"telephone_number": "724-438-0830",
"fax_number": "724-438-1076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEFELICECARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2012-08-02",
"status": "A",
"authorized_official_last_name": "DEFELICE",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "304-232-4210"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": "82042591",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "PA",
"license": "82042591",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "241170",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007375850010",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SUBMITTER ID",
"identifier": "C08501970",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DEFELICE MOBILITY",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Uniontown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.