Provider Demographics
NPI:1841240058
Name:HUB'S HOME OXYGEN & MEDICAL SUPPLIES, INC
Entity Type:Organization
Organization Name:HUB'S HOME OXYGEN & MEDICAL SUPPLIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-206-0040
Mailing Address - Street 1:220 W GERMANTOWN PIKE STE 250
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1437
Mailing Address - Country:US
Mailing Address - Phone:732-945-1020
Mailing Address - Fax:732-945-1020
Practice Address - Street 1:740 HIGH ST STE 1002
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-3102
Practice Address - Country:US
Practice Address - Phone:570-326-6521
Practice Address - Fax:570-323-8310
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AEROCARE HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-10
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1000002763332B00000X, 332BC3200X, 332BP3500X, 332BX2000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018915690011Medicaid
PA733651OtherAETNA US HEALTHCARE
PA0018915690012Medicaid
PA1399080OtherHIGHMARK BLUE SHIELD
PA0018915690013Medicaid
PA226037OtherHEALTHAMERICA
PA28061OtherABP ADMINISTRATORS
PA0018915690001Medicaid
PA31728OtherGEISINGER HEALTH PLAN
PA814533OtherFIRST PRIORITY HEALTH / D
PA817624OtherFIRST PRIORITY HEALTH / O
PA28061OtherABP ADMINISTRATORS