M & R of Fredricktown LTD Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

18900278 Issued in OH

Legal business name

M & R OF FREDRICKTOWN LTD INC

Practice address

22916 Lorain Rd
Fairview Park, OH 44126-2227

Phone

(440) 801-1563

Fax

(440) 801-1640

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Houska

Title

President

Phone

(440) 801-1563

Specialties & licenses 1

Addresses

Other names 1

• MEDICAL SOLUTIONS AND SUPPLIES Doing business as

Tax ID family

M R of Fredricktown LTD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• M & R of Fredricktown LTD. Inc.

  • Durable Medical Equipment & Medical Supplies
  • Canton, OH
  • NPI 1043364003
  NPD tax ID

Locations

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1194920215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22916 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262227",
            "telephone_number": "440-801-1563",
            "fax_number": "440-801-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22916 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262227",
            "telephone_number": "440-801-1563",
            "fax_number": "440-801-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & R OF FREDRICKTOWN LTD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "HOUSKA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-801-1563",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "18900278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL SOLUTIONS AND SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latricica Shantay Love
• Ronald J Luchini, DDS
• Stanley Luksenburg, DPM
• Luxottica of America Inc.
• Colleen Lynch, LCSW
• M Bashar Mamlouk MD Inc
• Colleen Mackay, M.S., CCC-SLP
• Edward John Magiste, PH.D., LISW-S
• Cassandre Dee Majewski, LMT
• Rebecca Malek, OTR/L

• Durable Medical Equipment & Medical Supplies in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.