Organization
AEROCARE HOME MEDICAL, INC.
Active
Parent organization
AEROCARE HOLDINGS LLC
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
2108 N JOHN REDDITT DR, LUFKIN, TX 75904-1732
(936) 634-3683
(936) 634-3703
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
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164465001
—
TX
05
—
164465002
—
TX
01
—
530767
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/01/2006
Last updated
10/12/2025
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