Organization Active NPI

Frank a Rezk

  • Durable Medical Equipment & Medical Supplies
  • Johnstown, PA
National Provider Identifier
1730318296
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on May 12, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0017226640002MedicaidPA
704483OtherPAUPMC
152805OtherPAUNISON
040020700OtherPADOL
1505986OtherPAGATEWAY
297884OtherPAHIGHMARK

Other names 1

  • Penn Home Medical Supply Co., LLC Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.