Orchard Healthcare Management , Inc

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

776773 Issued in OH

Legal business name

ORCHARD HEALTHCARE MANAGEMENT , INC

Practice address

12380 Plaza Dr
100
Parma, OH 44130-1043

Phone

(216) 898-8440

Fax

(216) 898-8450

NPI assigned

Feb 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Daskal, LNA

Title

President

Phone

(216) 898-8440

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336114123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12380 PLAZA DR",
            "address_2": "100",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301043",
            "telephone_number": "216-898-8440",
            "fax_number": "216-898-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12380 PLAZA DR",
            "address_2": "100",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301043",
            "telephone_number": "216-898-8440",
            "fax_number": "216-898-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD HEALTHCARE MANAGEMENT , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DASKAL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-898-8440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNA"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "OH",
            "license": "776773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUT ELITE",
            "identifier": "03124",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005031422",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0806042",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Parenteral & Enteral Nutrition Supplies (DME) in Parma, OH
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• Parenteral & Enteral Nutrition Supplies (DME) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.