Active NPI
Tri-Lakes Home Medical Equipment, Inc.
- Oxygen Equipment & Supplies (DME)
- Massena, NY
National Provider Identifier
1942250618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- TRI-LAKES HOME MEDICAL EQUIPMENT, INC.
- Practice address
- 274 E Orvis St
Massena, NY 13662-2277 - Phone
- (315) 769-5498
- NPI assigned
- May 11, 2006
- 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
- Mr. Earl Hitchcock Jr.
- Title
- President/Ceo
- Phone
- (518) 891-1777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
274 E Orvis St
Massena, NY 13662-2277
Mailing address
60 Broadway
Saranac Lake, NY 12983-1760
Phone (518) 891-1777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00955711 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930038430 | NY | DME Supplier - Medical Supply Company With Respiratory Therapist | 0941327852 | Practice locations: Massena, NY |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Oxygen Equipment & Supplies (DME)
- Saranac Lake, NY
- NPI 1851341556
0941327852
-
- Oxygen Equipment & Supplies (DME)
- Malone, NY
- NPI 1912957911
0941327852
National Provider Directory
National Provider Directory- Tax ID family
- Tri Lakes Home Medical
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Saranac Lake, NY
- NPI 1851341556
-
- Oxygen Equipment & Supplies (DME)
- Malone, NY
- NPI 1912957911
Locations
213 Main St
Ste 101
Massena, NY 13662
Phone (315) 769-5498
60 Broadway
Saranac Lake, NY 12983
Phone (518) 891-1777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461024000000",
"number": "1942250618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 BROADWAY",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129831760",
"telephone_number": "518-891-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "274 E ORVIS ST",
"city": "MASSENA",
"state": "NY",
"postal_code": "136622277",
"telephone_number": "315-769-5498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-LAKES HOME MEDICAL EQUIPMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2016-04-19",
"status": "A",
"authorized_official_last_name": "HITCHCOCK",
"authorized_official_first_name": "EARL",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "518-891-1777",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00955711",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Massena, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.