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
8310 CLINTON PARK DR, FORT WAYNE, IN 46825-3171
(260) 482-9875
(260) 483-5268
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)
69000694A
IN
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
69000694A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200859970B
—
IN
Enumeration date
06/24/2010
Last updated
04/13/2026
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