Restoration DME Supplies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RESTORATION DME SUPPLIES, LLC

Practice address

326 N Mulberry St Ste 105
Elizabethtown, KY 42701-1880

Phone

(270) 872-4405

Fax

(270) 872-4403

NPI assigned

Jul 7, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Wood

Title

Authorized Official

Phone

(270) 872-4405

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1043838014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 N MULBERRY ST STE 105",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011880",
            "telephone_number": "270-872-4405",
            "fax_number": "270-872-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N MULBERRY ST STE 105",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011880",
            "telephone_number": "270-872-4405",
            "fax_number": "270-872-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION DME SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "270-872-4405"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renest Recovery Support Services
• Renest Residence Inc
• Kellina Elizabeth Renfroe, BSN, RN
• Resp-a-Care Inc
• Nathaniel Restivo, APSS
• Tanya F Revor, APRN-FNP
• Mirabelle Reyes, D.O.
• Jason Harold Reynolds, M.D.
• Sarah Lavonne Reynolds, LCSW
• Shelby Marie Reynolds, RBT

• Durable Medical Equipment & Medical Supplies in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.