ADAPTHEALTH PATIENT CARE SOLUTIONS LLC

Provider Demographics

• NPI: 1649244138
• Name: ADAPTHEALTH PATIENT CARE SOLUTIONS LLC
• Entity type: Organization
• Organization Name: ADAPTHEALTH PATIENT CARE SOLUTIONS LLC
• Authorized Official - Title/Position: CCO
• Authorized Official - First Name: WENDY
• Authorized Official - Last Name: RUSSALESI
• Authorized Official - Phone: 484-246-9499
• Mailing Address - Street 1: 220 W GERMANTOWN PIKE STE 250
• Mailing Address - City: PLYMOUTH MEETING
• Mailing Address - State: PA
• Mailing Address - Zip Code: 19462-1437
• Mailing Address - Country: US
• Practice Address - Street 1: 1301 RIVERSIDE DR STE 1L
• Practice Address - City: BEAVER
• Practice Address - State: PA
• Practice Address - Zip Code: 15009-3155
• Practice Address - Country: US
• Practice Address - Phone: 855-404-6727
• EIN: <UNAVAIL>
• Is Organization Subpart?: Yes
• Parent Organization LBN: ADAPTHEALTH PATIENT CARE SOLUTIONS LLC
• Parent Organization TIN: <UNAVAIL>
• Enumeration Date: 2006-02-14
• Last Update Date: 2024-12-31

Provider Licenses

State	License ID	Taxonomies
PA	6000004366	332B00000X
		332BC3200X, 332B00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	332B00000X	Suppliers	Durable Medical Equipment & Medical Supplies
No	332BC3200X	Suppliers	Durable Medical Equipment & Medical Supplies	Customized Equipment

Provider Identifiers

State	Identifier ID	ID Type	Issuer
MI	1376880070	Medicaid
TX	164341301	Medicaid
OH	208653	Medicaid
WA	9062333	Medicaid
VA	9112499	Medicaid
AK	MS540PA	Medicaid
FL	002345100	Medicaid
KS	100005690A	Medicaid
PA	15014850002	Medicaid
OK	200211950A	Medicaid
OR	279337	Medicaid
TN	4582020	Medicaid
SC	DE3400	Medicaid
NJ	0098469	Medicaid
HI	625629	Medicaid
MS	7276893	Medicaid
AL	123509	Medicaid
IN	200096910A	Medicaid
WV	226556000	Medicaid
CO	88721515	Medicaid
NE	100256590-00	Medicaid
MD	2390600	Medicaid
AL	105190	Medicaid
NM	31059830	Medicaid
KY	7100233040	Medicaid
AZ	164341301	Medicaid
MN	347907000	Medicaid
ID	808110400	Medicaid
PA	01501485	Medicaid
GA	066682868A	Medicaid
LA	1817708	Medicaid
SC	DE3400	Medicaid