NPI Code Detail JSON Logo

1366069460 NPI number — HUB'S HOME OXYGEN & MEDICAL SUPPLIES LLC

NPI Number: 1366069460
Health Care Provider/Practitioner: HUB'S HOME OXYGEN & MEDICAL SUPPLIES LLC

Information about “1366069460” NPI (HUB'S HOME OXYGEN & MEDICAL SUPPLIES LLC) exists in 1366069460 in HTML format HTML  |  1366069460 in plain Text format TXT  |  1366069460 in PDF (Portable Document Format) PDF  |  1366069460 in an XML format XML  formats.

NPI Number : 1366069460 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366069460",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "ADAPTHEALTH WEST, LLC",
    "ParentOrgTIN": null,
    "OrgName": "HUB'S HOME OXYGEN & MEDICAL SUPPLIES LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "555 E NORTH LN STE 5075",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CONSHOHOCKEN",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19428-2490",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "270 SUSQUEHANNA MALL DRIVE",
    "SecondLinePracticeLocationAddress": "SUITE 500",
    "PracticeLocationAddressCityName": "SELINSGROVE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17870-9115",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "570-884-7454",
    "PracticeLocationAddressFaxNumber": "570-884-7455",
    "EnumerationDate": "07/06/2020",
    "LastUpdateDate": "02/02/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RUSSALESI",
    "AuthorizedOfficialFirstName": "WENDY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CCO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "484-246-9499",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332BC3200X",
          "TaxonomyName": "Customized Equipment (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BP3500X",
          "TaxonomyName": "Parenteral & Enteral Nutrition Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BX2000X",
          "TaxonomyName": "Oxygen Equipment & Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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