Organization
OCEAN HOME HEALTH OF PA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
950 COLWELL LN STE 2, CONSHOHOCKEN, PA 19428-1132
(484) 344-1060
(215) 424-4343
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
CERT.#6000003781
PA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
CERT#6000003781
PA
332BX2000X
Oxygen Equipment & Supplies (DME)
CERT#6000003781
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012921150001
—
PA
05
—
0012921150004
—
PA
05
—
0012921150005
—
PA
Enumeration date
06/30/2006
Last updated
10/15/2025
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