Organization
PVHS HOME MEDICAL SUPPLY LLC
Active
Parent organization
AEROCARE HOLDINGS, INC.
Other names
Major Medical
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
1420 RIVERSIDE AVE STE 108, FORT COLLINS, CO 80524-4380
(970) 484-6616
(970) 224-2883
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
—
20421061
—
CO
Enumeration date
12/21/2005
Last updated
10/14/2025
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