Organization
SOUTHERN HOME RESPIRATORY & EQUIPMENT, 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
185 REDWOOD AVE STE 102B&101, PENNINGTON GAP, VA 24277-0018
(276) 212-5127
(276) 546-6030
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
—
10001234
—
VA
01
—
104999
BLUE CROSS BLUE SHIELD
VA
Enumeration date
06/08/2006
Last updated
03/12/2026
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