Organization Active NPI

Koziks Home Medical Equipment Center Inc

  • Durable Medical Equipment & Medical Supplies
  • Kennett Square, PA
National Provider Identifier
1912093279
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
3000007903 Issued in PA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1015696530001MedicaidPA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.