Manor HealthCare Supply – Oxygen Equipment & Supplies (DME), NPI 1578575932

Manor HealthCare Supply is a healthcare provider. based in Orlando, Florida. specializing in Oxygen Equipment & Supplies (DME). The organization holds a License No. 0000000769 (TN). The NPI Number for Manor HealthCare Supply is 1578575932

Main info

Organization
Name
Manor HealthCare Supply
NPI
1578575932
Phone
(407) 206-0040
Address
3325 BARTLETT BLVD
Authorized Official
WENDY RUSSALESI CHIEF COMPLIANCE OFFICER
Enumeration Date
13 August 2006
Last Update Date
12 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness90
Years active:19State licenses:1Digital endpoints

Provider Addresses for Manor HealthCare Supply

  • 3325, Bartlett Boulevard, 33rd Street Industrial Park, Orlando, Orange County, Florida, 32811, United States

    ORLANDO, FL 328116428

    Phone: (407) 206-0040

    Fax: (407) 206-0040

    Type: Mailing

  • 555 E NORTH LN STE 5075

    CONSHOHOCKEN, PA 194282490

    Phone: (615) 424-4515

    Type: Mailing

  • 3384 N MOUNT JULIET RD STE 400&500

    MOUNT JULIET, TN 371223192

    Phone: (615) 773-1596

    Fax: (615) 754-2582

    Type: Location

  • 190, East Division Street, Moreland Farms, Mount Juliet, Wilson County, Middle Tennessee, Tennessee, 37122, United States

    MOUNT JULIET, TN 371223324

    Phone: (615) 773-1596

    Fax: (615) 754-2582

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-08-31 (80 days away).

Enrollment records

1

Earliest due date

2026-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930048031OMedical Supply CompanyTN2026-08-31

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32811)

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Reviews

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Frequently asked questions

What NPI should I save for Manor HealthCare Supply?
Save NPI 1578575932 if you need a stable reference for Manor HealthCare Supply.
Is Manor HealthCare Supply's NPI currently valid?
The extract we use shows Manor HealthCare Supply as active.
What kind of provider is Manor HealthCare Supply?
The page reflects Oxygen Equipment & Supplies (DME) for Manor HealthCare Supply. Clinical services aligned with this taxonomy classification.
Where does public data place Manor HealthCare Supply?
The snapshot lists Orlando, Florida for Manor HealthCare Supply; download NPPES for the complete set.
How can I contact Manor HealthCare Supply?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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