NPIMap

Organization Active NPI

Aerocare Home Medical Inc.

Doing business as AeroCare

  • Oxygen Equipment & Supplies (DME)
  • Hattiesburg, MS
National Provider Identifier
1871531475
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
AEROCARE HOME MEDICAL INC.
Doing business as
AeroCare
Practice address
6555 U S Highway 98 Ste 5B
Hattiesburg, MS 39402-7625
Phone
(601) 296-6811
Fax
(601) 296-9112
NPI assigned
Jun 3, 2006
Reactivated
Jun 8, 2019
Last updated
Oct 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AEROCARE HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

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

Authorized official

Name
Wendy Russalesi
Title
Cco
Phone
(484) 246-9499

Specialties & licenses 2

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

Addresses

Primary practice location

6555 U S Highway 98 Ste 5B
Hattiesburg, MS 39402-7625

Mailing address

555 E North LN Ste 5075
Conshohocken, PA 19428-2490

Other identifiers 1

IdentifierTypeStateIssuer
6285850MedicaidMS

Other names 1

  • AeroCare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930003879 MS DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 4587775671 Practice locations: Hattiesburg, MS

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Aerocare Home Medical Inc6 organizations share this tax ID, including this one
Part of
Aerocare Holdings LLC

Other organizations with this tax ID 5

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

Member of 2

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

Locations

6102 U S Highway 98
Ste 8
Hattiesburg, MS 39402
Phone (601) 296-6811

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760227200000",
    "number": "1871531475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E NORTH LN STE 5075",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 U S HIGHWAY 98 STE 5B",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027625",
            "telephone_number": "601-296-6811",
            "fax_number": "601-296-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEROCARE HOME MEDICAL INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AEROCARE HOLDINGS LLC",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "deactivation_date": "2018-07-24",
        "reactivation_date": "2019-06-08",
        "status": "A",
        "authorized_official_last_name": "RUSSALESI",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "484-246-9499"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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": "6285850",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AeroCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.