Organization Active NPI

Defelicecare, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Uniontown, PA
National Provider Identifier
1700902657
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
82042591 Issued in PA
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

Updated by the provider on Aug 2, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
241170OtherPAHIGHMARK BCBS
1007375850010MedicaidPA
C08501970OtherWVMEDICARE SUBMITTER ID

Other names 1

  • DEFELICE MOBILITY Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.