Advacare Home Services, Inc

Organization Active NPI Durable Medical Equipment & Medical Supplies · Beaver, PA

NPI 1720005531 · NPPES record last updated Jan 19, 2023

Key facts

NPI
1720005531
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
ADVACARE HOME SERVICES, INC
Practice address
572 3Rd St
Beaver, PA 15009-2229
Phone
(724) 775-8020
Fax
(724) 775-8020
NPI assigned
Jul 16, 2006
Organization subpart
No

Authorized official

Name
Michael Thomas Conner
Title
President
Phone
(412) 677-1171

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Advacare Home Services Inc
572 3Rd St, Beaver, PA 15009-2229 · (724) 775-8020
Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard … Does not accept assignment
Participating since Jan 1, 1998

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930086712 PA DME Supplier - Medical Supply Company
DME Supplier - Oxygen & Equipment
8022139823 Practice locations: Beaver, PA

National Provider Directory

Tax ID family
Advacare Home Services Inc (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

572 3Rd St
Beaver, PA 15009-2229

Mailing address

4451 State Route 66
Apollo, PA 15613-2053
Phone (412) 249-9000

Other identifiers

IdentifierTypeStateIssuer
0016636070005MedicaidPA

Other names

  • Advacare Home Services Doing business as

Other providers in Beaver, PA

All providers in Beaver, PA · Durable Medical Equipment & Medical Supplies in Pennsylvania

Sources for this page

Verify at the official NPI Registry.