Provider Demographics
NPI:1033249883
Name:AMERICAN HOME RESPIRATORY CARE
Entity Type:Organization
Organization Name:AMERICAN HOME RESPIRATORY CARE
Other - Org Name:MONROE OXYGEN & MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:B
Authorized Official - Last Name:VELEKKAKAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-271-1140
Mailing Address - Street 1:485 SPENCERPORT RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14606-4822
Mailing Address - Country:US
Mailing Address - Phone:585-271-1140
Mailing Address - Fax:585-271-1147
Practice Address - Street 1:7374 PITTSFORD PALMYRA RD
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-9599
Practice Address - Country:US
Practice Address - Phone:585-421-8798
Practice Address - Fax:585-598-2920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02215185Medicaid
NY02215185Medicaid