Supplemental Professional Resources, Inc.
Home Health
3976 Lockport Olcott Rd, Lockport
New York, 14094-1133
716-433-7810 716-433-7811
Supplemental Professional Resources, Inc. is a Home Health in Lockport, New York. It is located at 3976 Lockport Olcott Rd, Lockport and it's customer support contact number is 716-433-7810. The authorized person of Supplemental Professional Resources, Inc. is Mr. Donald L Kepner who is Chief Financial Officer of this DME and his contact number is 716-514-5527. Active license number of Supplemental Professional Resources, Inc. is 9969L001 for Home Health in New York.
Supplemental Professional Resources, Inc. is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
DME Supplier Details:
Supplemental Professional Resources, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Supplemental Professional Resources, Inc. |
| Type: | Home Health |
| Location: | 3976 Lockport Olcott Rd, Lockport,
New York, 14094-1133 |
| Phone: | 716-433-7810 |
| Fax: | 716-433-7811 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Donald L Kepner |
| Position: | Chief Financial Officer |
| Contact Number: | 716-514-5527 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1972591311 |
| NPI Enumeration Date: | 10 Oct, 2005 |
| NPI Last Update On: | 11 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Supplemental Professional Resources, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Home Health | 9969L001 | New York | Primary | |
| Durable Medical Equipment & Medical Supplies | 9969L001 | New York | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 01879616 | Medicaid | New York | |
| 8210096 | Other | New York | Iha Billing # |
| 00011340201 | Other | New York | Univera Billing # |
| 000551258001 | Other | New York | Bcbs Billing # |
| 01779735 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3976 Lockport Olcott Rd,
Lockport, New York |
| Zip: | 14094-1133 |
| Phone Number: | 716-433-7810 |
| Fax Number: | 716-433-7811 |
Patients can reach Supplemental Professional Resources, Inc. at
3976 Lockport Olcott Rd, Lockport, New York or can
call on customer care at 716-433-7810.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.