Greene Respiratory Services, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

69000109A Issued in IN

Legal business name

GREENE RESPIRATORY SERVICES, INC

Doing business as

Healthcare South East

Practice address

420 3Rd St Ste 3
Aurora, IN 47001-1313

Phone

(812) 926-1582

Fax

(812) 926-3972

NPI assigned

Mar 5, 2007

Last updated

Jul 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tony Escamilla

Title

Cfo

Phone

(513) 831-0507

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Healthcare South East Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

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).

• Greene Respiratory Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Findlay, OH
  • NPI 1144418880

  1951429463

  Same PAC ID
• Greene Respiratory Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Milford, OH
  • NPI 1689615460

  1951429463

  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

Greene Respiratory Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Greene Respiratory Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Findlay, OH
  • NPI 1144418880
  NPD tax ID
• Greene Respiratory Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Milford, OH
  • NPI 1689615460
  NPD tax ID
• Greene Respiratory Services, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Milford, OH
  • NPI 1265983159
  NPD tax ID

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1982733002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 3RD ST",
            "city": "AURORA",
            "state": "IN",
            "postal_code": "470011312",
            "telephone_number": "513-564-1582",
            "fax_number": "812-926-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 3RD ST STE 3",
            "city": "AURORA",
            "state": "IN",
            "postal_code": "470011313",
            "telephone_number": "812-926-1582",
            "fax_number": "812-926-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE RESPIRATORY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "ESCAMILLA",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "513-831-0507",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "69000109A",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IN",
            "license": "69000109A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200834930",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthcare South East",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthcare South East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Marie Fox, CADACIV, ICAADC
• Lauren Fox, APRN
• Jack F Freidel, MD
• Masoud Ghohestani, O.D.
• Robin Lynn Gibbs
• Roberta Hall
• Luciana Hartke, APRN
• Jon Philip Hautzenroeder, CNP
• Hook-Superx LLC (CVS Pharmacy #06077)
• Melissa Hughes, MSW

• Oxygen Equipment & Supplies (DME) in Aurora, IN
• Providers in Aurora, IN by specialty
• Oxygen Equipment & Supplies (DME) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.