Active NPI
Rydale Medical, Inc.
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
National Provider Identifier
1326013749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- NONE REQUIRED
- Legal business name
- RYDALE MEDICAL, INC.
- Practice address
- 16909 Lakeside Hills PLZ
Suite 108
Omaha, NE 68130-4654 - Phone
- (402) 697-3949
- Fax
- (402) 697-3950
- NPI assigned
- Feb 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda D Goodlett
- Title
- President
- Phone
- (402) 697-3949
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NONE REQUIRED | NE | Primary |
| Customized Equipment (DME) | 332BC3200X | NONE REQUIRED | NE | |
| Dialysis Equipment & Supplies (DME) | 332BD1200X | NONE REQUIRED | NE | |
| Nursing Facility Supplies (DME) | 332BN1400X | NONE REQUIRED | NE | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | NONE REQUIRED | NE | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | NONE REQUIRED | NE | |
| Hearing Aid Equipment | 332S00000X | NONE REQUIRED | NE | |
| Home Delivered Meals | 332U00000X | NONE REQUIRED | NE | |
| Prosthetic/Orthotic Supplier | 335E00000X | NONE REQUIRED | NE |
Addresses
Primary practice location
16909 Lakeside Hills PLZ
Suite 108
Omaha, NE 68130-4654
Mailing address
16909 Lakeside Hills PLZ
Suite 108
Omaha, NE 68130-4654
Phone (402) 697-3949
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025338400 | Medicaid | NE | |
| D09862 | Other | NE | BCBS NE |
National Provider Directory
National Provider DirectoryLocations
16909 Lakeside Hills Plz
Ste 108
Omaha, NE 68130
Phone (402) 697-3949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196208000000",
"number": "1326013749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16909 LAKESIDE HILLS PLZ",
"address_2": "SUITE 108",
"city": "OMAHA",
"state": "NE",
"postal_code": "681304654",
"telephone_number": "402-697-3949",
"fax_number": "402-697-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16909 LAKESIDE HILLS PLZ",
"address_2": "SUITE 108",
"city": "OMAHA",
"state": "NE",
"postal_code": "681304654",
"telephone_number": "402-697-3949",
"fax_number": "402-697-3950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RYDALE MEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-20",
"last_updated": "2007-11-28",
"status": "A",
"authorized_official_last_name": "GOODLETT",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-697-3949",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NE",
"license": "NONE REQUIRED",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NE",
"license": "NONE REQUIRED",
"primary": false
},
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": "NE",
"license": "NONE REQUIRED",
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": "NE",
"license": "NONE REQUIRED",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "NE",
"license": "NONE REQUIRED",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NE",
"license": "NONE REQUIRED",
"primary": false
},
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": "NE",
"license": "NONE REQUIRED",
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": "NE",
"license": "NONE REQUIRED",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NE",
"license": "NONE REQUIRED",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025338400",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NE",
"identifier": "D09862",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.