Organization Active NPI

American Homecare Supply Mid Atlantic LLC

  • Oxygen Equipment & Supplies (DME)
  • Danville, PA
National Provider Identifier
1700970902
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
AMERICAN HOMECARE SUPPLY MID ATLANTIC LLC
Practice address
1217 Bloom St
Danville, PA 17821-1303
Phone
(800) 999-6504
Fax
(570) 819-2375
NPI assigned
Oct 3, 2006
Organization subpart
Yes
Parent organization
LANDAUER HEALTHCARE HOLDINGS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Mrs. Loree Anderson-Iarocci, MA
Title
Chief Operating Officer
Phone
(855) 914-9140

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

1217 Bloom St
Danville, PA 17821-1303

Mailing address

2710 Emrick Blvd
Bethlehem, PA 18020-8012
Phone (610) 882-8880

Other identifiers 3

IdentifierTypeStateIssuer
001904616MedicaidDE
1007735180037MedicaidPA
9065504MedicaidNJ

Other names 1

  • Young's Medical Equipment Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2710 Emrick Blvd
Bethlehem, PA 18020
Phone (610) 258-1585

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1700970902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 EMRICK BLVD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208012",
            "telephone_number": "610-882-8880",
            "fax_number": "610-867-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 BLOOM ST",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178211303",
            "telephone_number": "800-999-6504",
            "fax_number": "570-819-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HOMECARE SUPPLY MID ATLANTIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANDAUER HEALTHCARE HOLDINGS, INC",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-IAROCCI",
        "authorized_official_first_name": "LOREE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "855-914-9140",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001904616",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007735180037",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9065504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young's Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.