Organization
LOVELL MEDICAL SUPPLY INC
Active
Parent organization
AEROCARE HOLDINGS LLC
Other names
AeroCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEROCARE HOLDINGS LLC
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
186 WEST INDEPENDENCE BLVD, MT AIRY, NC 27030
(336) 786-1410
(336) 786-1472
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
01525
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0421U
BCBS
NC
05
—
1073569679
—
VA
01
—
34015
PARTNERS
—
05
—
7704677
—
NC
Enumeration date
05/25/2006
Last updated
05/21/2026
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