Organization Active NPI

Adb Medical Supplies LLC

  • Nursing Facility Supplies (DME)
  • Harrison, OH
National Provider Identifier
1083937122
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
License
2882411 Issued in OH
Legal business name
ADB MEDICAL SUPPLIES LLC
Practice address
121 Harrison Ave
Suite 3
Harrison, OH 45030-2307
Phone
(310) 347-2752
Fax
(513) 202-1370
NPI assigned
Mar 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Mr. Anthony David Bamonte
Title
Owner
Phone
(310) 347-2752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X 2882411 OH Primary

Addresses

Primary practice location

121 Harrison Ave
Suite 3
Harrison, OH 45030-2307

Mailing address

121 Harrison Ave
Suite 3
Harrison, OH 45030-2307
Phone (310) 347-2752

Other identifiers 2

IdentifierTypeStateIssuer
2882411MedicaidOH
1508015330OtherOHNPI (OLD)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1083937122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HARRISON AVE",
            "address_2": "SUITE 3",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302307",
            "telephone_number": "310-347-2752",
            "fax_number": "513-202-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HARRISON AVE",
            "address_2": "SUITE 3",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302307",
            "telephone_number": "310-347-2752",
            "fax_number": "513-202-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADB MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "BAMONTE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-347-2752",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "OH",
            "license": "2882411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2882411",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (OLD)",
            "identifier": "1508015330",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.