Organization
LOUISVILLE 02, INC.
Active
Parent organization
AEROCARE HOLDINGS LLC
Other names
AeroCare Home Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEROCARE HOLDINGS LLC
Authorized official
WENDY RUSSALESI (CHIEF COMPLIANCE OFFICER)
(484) 246-9499
Entity
Organization
Contact information
Practice address
83 BOGLE OFFICE PARK DR, SOMERSET, KY 42503-2810
(606) 492-2740
(866) 312-7997
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
049125
KY
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
MG0412
KY
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330044
ANTHEM
KY
01
—
1217887
CHA HEALTH PROVIDER ID
KY
05
—
200500200A
—
IN
01
—
50004493
PASSPORT PROVIDER ID
KY
05
—
7100127560
—
KY
01
—
7444596
AETNA
KY
Enumeration date
07/08/2005
Last updated
10/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us