Restoration Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RESTORATION MEDICAL SUPPLIES LLC

Practice address

6399 Little River Tpke Ste 201
Alexandria, VA 22312-5093

Phone

(703) 333-3059

Fax

(703) 354-0501

NPI assigned

Nov 19, 2018

Organization subpart

No

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

Authorized official

Name

Hannah Kanu

Title

President

Phone

(703) 333-3059

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1407325574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6399 LITTLE RIVER TPKE STE 201",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125093",
            "telephone_number": "703-333-3059",
            "fax_number": "703-354-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 LITTLE RIVER TPKE STE 201",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125093",
            "telephone_number": "703-333-3059",
            "fax_number": "703-354-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "KANU",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-333-3059"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCC CERTIFICATE",
            "identifier": "CISECOM",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lauren Retton
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• Virginia L Revere, PH.D.

• Durable Medical Equipment & Medical Supplies in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.