Organization Active NPI

American Home Care Supply Company, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Mansfield, PA
National Provider Identifier
1902880271
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AMERICAN HOME CARE SUPPLY COMPANY, INC.
Practice address
38 N Main St
Mansfield, PA 16933-1422
Phone
(570) 662-7001
Fax
(570) 662-7229
NPI assigned
Dec 1, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Richard L Para
Title
President
Phone
(570) 961-0155

Member of 2

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

National Provider Directory

National Provider Directory

Locations

38 N Main St
Mansfield, PA 16933
Phone (570) 662-7001

4113 Birney Ave
Moosic, PA 18507
Phone (570) 330-0300

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 3000007528 PA
Oxygen Equipment & Supplies (DME) 332BX2000X 3000007528 PA

Addresses

NPPES NPI Registry

Primary practice location

38 N Main St
Mansfield, PA 16933-1422

Mailing address

4113 Birney Ave
Moosic, PA 18507-1301
Phone (570) 961-0155

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00016726890006MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 9, 2013.

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1902880271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 BIRNEY AVE",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071301",
            "telephone_number": "570-961-0155",
            "fax_number": "570-961-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 N MAIN ST",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331422",
            "telephone_number": "570-662-7001",
            "fax_number": "570-662-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HOME CARE SUPPLY COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "PARA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-961-0155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "PA",
            "license": "3000007528",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PA",
            "license": "3000007528",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00016726890006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.