Active NPI
Frank a Rezk
- Durable Medical Equipment & Medical Supplies
- Johnstown, PA
National Provider Identifier
1730318296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- FRANK A REZK
- Doing business as
- Penn Home Medical Supply Co., LLC
- Practice address
- 1075 Franklin St
Johnstown, PA 15905-4303 - Phone
- (814) 254-4218
- Fax
- (814) 254-4431
- NPI assigned
- Jul 6, 2009
- 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
- Mr. Frank A. Rezk
- Title
- President/Ceo
- Phone
- (814) 471-0627
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PA | Primary | |
| Customized Equipment (DME) | 332BC3200X | PA | ||
| Nursing Facility Supplies (DME) | 332BN1400X | PA | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | PA | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | PA | ||
| Prosthetic/Orthotic Supplier | 335E00000X | PA |
Addresses
Primary practice location
1075 Franklin St
Johnstown, PA 15905-4303
Mailing address
PO Box 337
Ebensburg, PA 15931-0337
Phone (814) 471-0627
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017226640002 | Medicaid | PA | |
| 704483 | Other | PA | UPMC |
| 152805 | Other | PA | UNISON |
| 040020700 | Other | PA | DOL |
| 1505986 | Other | PA | GATEWAY |
| 297884 | Other | PA | HIGHMARK |
Other names 1
- Penn Home Medical Supply Co., LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463011200000",
"number": "1730318296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 337",
"city": "EBENSBURG",
"state": "PA",
"postal_code": "159310337",
"telephone_number": "814-471-0627",
"fax_number": "814-471-0639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 FRANKLIN ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159054303",
"telephone_number": "814-254-4218",
"fax_number": "814-254-4431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANK A REZK",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-06",
"last_updated": "2016-05-12",
"status": "A",
"authorized_official_last_name": "REZK",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "814-471-0627",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "PA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017226640002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "704483",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "152805",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL",
"identifier": "040020700",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1505986",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "297884",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Penn Home Medical Supply Co., LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.