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Contact Information

AEROCARE HOME MEDICAL EQUIPMENT, INC.
1019 COWAN DR STE A&B
LEBANON, MO65536
 Phone: 417-533-3073
 Fax: 417-533-8102
 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 AEROCARE HOME MEDICAL EQUIPMENT, INC.

NPI # 1780623769
LBN Legal business name AEROCARE HOME MEDICAL EQUIPMENT, INC.
Authorized official WENDY RUSSALESI - (CCO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/06/2006
Last updated 10/12/2025 - About 8 months ago
Identifiers
MO Medicaid 626069306
Other 179107 BLUE CROSS BLUE SHIELD
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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