Organization
ATLANTIC 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
125 N MECKLENBURG AVE, SOUTH HILL, VA 23970-2045
(434) 205-3483
(434) 447-8535
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
—
009134744
—
VA
01
—
021664
ANTHEM BCBS
VA
05
—
30015156040005
—
VA
Enumeration date
08/22/2005
Last updated
02/23/2026
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