Active NPI
Koziks Home Medical Equipment Center Inc
- Durable Medical Equipment & Medical Supplies
- Kennett Square, PA
National Provider Identifier
1912093279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 3000007903
- Legal business name
- KOZIKS HOME MEDICAL EQUIPMENT CENTER INC
- Practice address
- 305 W State St
Kennett Square, PA 19348-3052 - Phone
- (610) 444-2240
- Fax
- (610) 444-9098
- NPI assigned
- Oct 5, 2006
- Last updated
- Aug 22, 2020
- 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
- Donald Stanley Kozik, PRESIDENT
- Title
- President
- Phone
- (610) 444-2240
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 3000007903 | PA | Primary |
Addresses
Primary practice location
305 W State St
Kennett Square, PA 19348-3052
Mailing address
305 West State St
Kennett Square, PA 19348-3052
Phone (610) 444-2240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015696530001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
305 W State St
Kennett Square, PA 19348
Phone (610) 444-2240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912093279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 WEST STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483052",
"telephone_number": "610-444-2240",
"fax_number": "610-444-9098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483052",
"telephone_number": "610-444-2240",
"fax_number": "610-444-9098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOZIKS HOME MEDICAL EQUIPMENT CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KOZIK",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "STANLEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-444-2240",
"authorized_official_credential": "PRESIDENT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": "3000007903",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015696530001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennett Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.