MEDICARE: RESPRACARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	332BX2000X	Oxygen Equipment & Supplies (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1356672505	OTHER	NC	BLUE CROSS BLUE SHIELD NORTH CAROLINA

General Provider Information

NPI Number	:	1356672505
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESPRACARE INC

Provider Business Mailing Address
First Line	:	555 E NORTH LN STE 5075
Second Line	:
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-2490
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1151 N WESLEYAN BLVD
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-1840
Country	:	US
Telephone Number	:	252-937-4110
Fax Number	:	252-937-8810

Authorized Official
Title or Position	:	CCO
Name	:	WENDY RUSSALESI
Credential	:
Telephone Number	:	484-246-9499

Provider Enumeration Date	:	01/27/2010
Last Update Date	:	10/14/2025

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Directions to “RESPRACARE INC ” Practice Location

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