MEDICARE: AMERICAN HOMECARE SUPPLY NEW YORK

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
3	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

General Provider Information

NPI Number	:	1477579654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HOMECARE SUPPLY NEW YORK

Provider Business Mailing Address
First Line	:	1 BRADFORD RD
Second Line	:
City	:	MOUNT VERNON
State	:	NY
Zip	:	10553-1260
Country	:	US
Telephone Number	:	800-631-3031
Fax Number	:	914-840-1360

Provider Business Practice Location Address
First Line	:	2170 UNION RD
Second Line	:
City	:	WEST SENECA
State	:	NY
Zip	:	14224-1429
Country	:	US
Telephone Number	:	716-656-0195
Fax Number	:	716-656-7087

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MRS. LOREE ANDERSON-IAROCCI
Credential	:	MA
Telephone Number	:	855-914-9140

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	12/19/2013

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