Professional Home Care Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0055L001 Issued in NY

Legal business name

PROFESSIONAL HOME CARE INC

Practice address

601 Riverside Dr
Johnson City, NY 13790-2544

Phone

(607) 763-5600

Fax

(607) 763-5582

NPI assigned

Sep 13, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Greg Rittenhouse

Title

President Ceo

Phone

(607) 763-5600

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Professional Home Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Norwich, NY
  • NPI 1033526330

  2466579560

  Same PAC ID
• Professional Home Care, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Ithaca, NY
  • NPI 1073675450

  2466579560

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Professional Home Care6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• Professional Home Care

  • Home Health Agency
  • Johnson City, NY
  • NPI 1366837569
  NPD tax ID
• Professional Home Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Norwich, NY
  • NPI 1033526330
  NPD tax ID
• Professional Home Care Inc.

  • Community/Retail Pharmacy
  • Vestal, NY
  • NPI 1629105846
  NPD tax ID
• Professional Home Care, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Norwich, NY
  • NPI 1003978495
  NPD tax ID
• Professional Home Care, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Ithaca, NY
  • NPI 1073675450
  NPD tax ID

Locations

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1982699252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RIVERSIDE DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902544",
            "telephone_number": "607-763-5600",
            "fax_number": "607-763-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RIVERSIDE DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902544",
            "telephone_number": "607-763-5600",
            "fax_number": "607-763-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "RITTENHOUSE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "607-763-5600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "0055L001",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NY",
            "license": "0055L001",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NY",
            "license": "0055L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01762014",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tatyana Pradun, CRNA
• Sukanya S Prasad, MD
• Judaja Prescott, MD
• Kimberly Sue Prewitt, M.A. SLP
• Professional Home Care
• Project Hear, Inc
• Gerald Donald Prudhomme, O.D.
• Anwer Puthawala, MD
• Aamir Qureshi, DO
• Mohammad Humza Qureshi

• Oxygen Equipment & Supplies (DME) in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Oxygen Equipment & Supplies (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.