Organization
HUB'S HOME OXYGEN & MEDICAL SUPPLIES, LLC
Active
Parent organization
ADAPTHEALTH WEST, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADAPTHEALTH WEST, LLC
Authorized official
WENDY RUSSALESI (CHIEF COMPLIANCE OFFICER)
(484) 246-9499
Entity
Organization
Contact information
Practice address
740 HIGH ST STE 1002, WILLIAMSPORT, PA 17701-3102
(570) 326-6521
(570) 323-8310
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
(301) 741-7792
(301) 741-7792
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1000002763
PA
332BC3200X
Customized Equipment (DME)
1000002763
PA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1000002763
PA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1000002763
PA
335E00000X
Prosthetic/Orthotic Supplier
1000002763
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018915690001
—
PA
05
—
0018915690011
—
PA
05
—
0018915690012
—
PA
05
—
0018915690013
—
PA
01
—
1399080
HIGHMARK BLUE SHIELD
PA
01
—
226037
HEALTHAMERICA
PA
01
—
28061
ABP ADMINISTRATORS
PA
01
—
31728
GEISINGER HEALTH PLAN
PA
01
—
733651
AETNA US HEALTHCARE
PA
01
—
814533
FIRST PRIORITY HEALTH / D
PA
01
—
817624
FIRST PRIORITY HEALTH / O
PA
Enumeration date
05/10/2006
Last updated
02/03/2026
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