Organization Active NPI

Restorative Support Systems Co

  • Durable Medical Equipment & Medical Supplies
  • Canfield, OH
National Provider Identifier
1235310343
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6000006109 Issued in PA
Legal business name
RESTORATIVE SUPPORT SYSTEMS CO
Practice address
565 E Main St
Suite 210
Canfield, OH 44406-1598
Phone
(330) 286-3414
Fax
(330) 286-5084
NPI assigned
Nov 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Authorized official

Name
Tracy Diane Markulin, LPN
Title
Owner
Phone
(330) 286-3414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6000006109 PA Primary

Addresses

Primary practice location

565 E Main St
Suite 210
Canfield, OH 44406-1598

Mailing address

PO Box 625
Canfield, OH 44406-0625
Phone (330) 286-3414

Other identifiers 1

IdentifierTypeStateIssuer
2402797MedicaidOH

Other names 1

  • rssc Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930008260 OH DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Orthotic Personnel 9638383482 Practice locations: Canfield, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Restorative Support Systems Co565 E Main St, Canfield, OH 44406-1500(330) 286-3414 Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Oct 18, 2002

National Provider Directory

National Provider Directory

Locations

565 E Main St
Ste 210
Canfield, OH 44406
Phone (330) 286-3414

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1235310343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 625",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444060625",
            "telephone_number": "330-286-3414",
            "fax_number": "330-286-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 E MAIN ST",
            "address_2": "SUITE 210",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061598",
            "telephone_number": "330-286-3414",
            "fax_number": "330-286-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE SUPPORT SYSTEMS CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "MARKULIN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-286-3414",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000006109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2402797",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "rssc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "rssc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.