Kinney Homecare Equipment and Supplies, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

KINNEY HOMECARE EQUIPMENT AND SUPPLIES, INC.

Practice address

21087 Nys Rte 12F
Watertown, NY 13601-1078

Phone

(315) 788-8280

Fax

(315) 785-9715

NPI assigned

Aug 9, 2005

Last updated

Jul 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Debra V Barber

Title

VP Managed Care Contracting & Payor

Phone

(315) 413-7800

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Kinney Homecare Equipment and Supplies, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Potsdam, NY
  • NPI 1356363345

  9537286232

  Same PAC ID
• Kinney Homecare Equipment and Supplies, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Plattsburgh, NY
  • NPI 1467483669

  9537286232

  Same PAC ID

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

Medicare medical equipment & supply locations

Tax ID family

Marras Homecare4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Kinney Homecare Equipment and Supplies, Inc.

  • Oxygen Equipment & Supplies (DME)
  • New Hartford, NY
  • NPI 1144137621
  NPD tax ID
• Kinney Homecare Equipment and Supplies, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Potsdam, NY
  • NPI 1356363345
  NPD tax ID
• Kinney Homecare Equipment and Supplies, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Plattsburgh, NY
  • NPI 1467483669
  NPD tax ID

Member of 1

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

• KPH Healthcare Services, Inc.

  dba Kinney Drugs #17

  • Community/Retail Pharmacy
  • Potsdam, NY
  • NPI 1265549448

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1720089089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "address_2": "21087 NYS RT. 12F",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136010027",
            "telephone_number": "315-788-8280",
            "fax_number": "315-785-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21087 NYS RTE 12F",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011078",
            "telephone_number": "315-788-8280",
            "fax_number": "315-785-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINNEY HOMECARE EQUIPMENT AND SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "VP MANAGED CARE CONTRACTING & PAYOR",
        "authorized_official_telephone_number": "315-413-7800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01039541",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ludwig E Khoury, MD
• Theresa L Kiefer
• Robert O Kimball, M.D.
• William Humphrey Kimball, PH.D.
• Matthew John Kinnard, MD
• Lesley A Kirch
• Jeffrey Kirkby, R.PH
• Amy Klemgard, LPN
• Michaela Kline
• Tracy Nicole Klock, MS, OTR/L

• Oxygen Equipment & Supplies (DME) in Watertown, NY
• Providers in Watertown, NY by specialty
• Oxygen Equipment & Supplies (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.