SUPPLEMENTAL PROFESSIONAL RESOURCES INC. NPI 1972591311

NPI Information

NPI: 1972591311
Provider Name: SUPPLEMENTAL PROFESSIONAL RESOURCES, INC.

Doing Business As: NIAGARA HOME CARE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3976 LOCKPORT OLCOTT RD
LOCKPORT, NY
ZIP 14094
Phone: (716) 433-7810
Get Directions

SUPPLEMENTAL PROFESSIONAL RESOURCES, INC. is a durable medical equipment medical supplies in Lockport, NY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SUPPLEMENTAL PROFESSIONAL RESOURCES, INC. NPI is 1972591311. The provider is registered as an organization entity type.
The provider Is Doing Business As Niagara Home Care.

The provider's business location address is:

3976 LOCKPORT OLCOTT RD
LOCKPORT, NY
ZIP 14094-133
Phone: (716) 433-7810
Fax: (716) 433-7811

The provider's authorized official is Donald L Kepner .
The authorized official title is Chief Financial Officer and has the following contact phone number (716) 514-5527.

The enumeration date for this NPI number is 10/10/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		9969L001	NEW YORK	Yes
2	251E00000X	Home Health		9969L001	NEW YORK	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01779735	MEDICAID	NEW YORK
2	01879616	MEDICAID	NEW YORK
3	000551258001	OTHER	NEW YORK	BCBS BILLING #
4	8210096	OTHER	NEW YORK	IHA BILLING #
5	00011340201	OTHER	NEW YORK	UNIVERA BILLING #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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