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Contact Information

BREATHE GRACE MEDICAL SUPPLY, LLC
13179 GARRETT HWY STE C
OAKLAND, MD21550-1164
 Phone: 240-657-0030
 Fax: 240-657-0031
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for BREATHE GRACE MEDICAL SUPPLY, LLC

NPI Number 1518454602
LBN Legal business name BREATHE GRACE MEDICAL SUPPLY, LLC
Authorized official WENDY RUSSALESI - (CCO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/16/2018
Last updated 10/13/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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