Organization Active NPI

Frank a Rezk

  • Durable Medical Equipment & Medical Supplies
  • Ebensburg, PA
National Provider Identifier
1841482452
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1000003122 Issued in PA
Legal business name
FRANK A REZK
Practice address
657 Industrial Park Rd
Ebensburg, PA 15931-4111
Phone
(814) 471-0627
Fax
(814) 471-0639
NPI assigned
Aug 16, 2007
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
Phone
(814) 471-0627

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1000003122 PA Primary
Customized Equipment (DME) 332BC3200X 1000003122 PA
Nursing Facility Supplies (DME) 332BN1400X 1000003122 PA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 1000003122 PA
Oxygen Equipment & Supplies (DME) 332BX2000X 1000003122 PA
Prosthetic/Orthotic Supplier 335E00000X 1000003122 PA

Addresses

Primary practice location

657 Industrial Park Rd
Ebensburg, PA 15931-4111

Mailing address

657 Industrial Park Rd
PO Box 337
Ebensburg, PA 15931-4111
Phone (814) 471-0627

Other identifiers 5

IdentifierTypeStateIssuer
152805OtherPAUNISON HEALTH PLAN
1535665OtherPAUMWA
297884OtherPAHIGHMARK BCBS
0017226640003MedicaidPA
040020700OtherPADOL

Other names 1

  • Penn Home Medical Supply Co. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110314000745 PA DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Oxygen & Equipment 9830210343 Practice locations: Ebensburg, PA

Other NPIs with the same Medicare PAC ID 1

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

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Frank a Rezk657 Industrial Park Rd, Ebensburg, PA 15931-4111(814) 471-0627 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical … Accepts assignmentParticipating since Apr 19, 1999

National Provider Directory

National Provider Directory
Tax ID family
Frank a Rezk3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

657 Industrial Park Rd
Ebensburg, PA 15931
Phone (814) 471-0627

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1841482452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 INDUSTRIAL PARK RD",
            "address_2": "PO BOX 337",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314111",
            "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": "657 INDUSTRIAL PARK RD",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314111",
            "telephone_number": "814-471-0627",
            "fax_number": "814-471-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK A REZK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "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",
        "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": "1000003122",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": "1000003122",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "PA",
            "license": "1000003122",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "PA",
            "license": "1000003122",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PA",
            "license": "1000003122",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "1000003122",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "152805",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1535665",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "297884",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017226640003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "040020700",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Home Medical Supply Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ebensburg, 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.
  • 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.