Organization
AIRWAY OXYGEN INC
Active
Parent organization
AEROCARE HOLDINGS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEROCARE HOLDINGS, INC.
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
1150 E NAPIER AVE, BENTON HARBOR, MI 49022-3930
(269) 927-6610
(269) 927-6168
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5019426
—
MI
01
—
540D10642
BLUE CROSS/BLUE SHIELD
MI
Enumeration date
10/25/2006
Last updated
10/12/2025
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