Active NPI
Western Reserve Medical Supply Inc
- Oxygen Equipment & Supplies (DME)
- Parma, OH
National Provider Identifier
1528069846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- WESTERN RESERVE MEDICAL SUPPLY INC
- Practice address
- 5230 Hauserman Rd
Suite B
Parma, OH 44130-1224 - Phone
- (216) 292-4406
- Fax
- (216) 252-4930
- NPI assigned
- Aug 9, 2005
- 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
- Carol A. Gilligan
- Title
- President/Owner
- Phone
- (216) 252-3900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
5230 Hauserman Rd
Suite B
Parma, OH 44130-1224
Mailing address
5230 Hauserman Rd
Suite B
Parma, OH 44130-1224
Phone (216) 292-4406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0862633 | Medicaid | OH |
Other names 1
- Western Reserve Home Medical
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Columbus, OH
- NPI 1710222526
Member Of
Locations
23600 Mercantile Rd
Ste 106
Beachwood, OH 44122
Phone (216) 292-4406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310083200000",
"number": "1528069846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5230 HAUSERMAN RD",
"address_2": "SUITE B",
"city": "PARMA",
"state": "OH",
"postal_code": "441301224",
"telephone_number": "216-292-4406",
"fax_number": "216-252-4930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5230 HAUSERMAN RD",
"address_2": "SUITE B",
"city": "PARMA",
"state": "OH",
"postal_code": "441301224",
"telephone_number": "216-292-4406",
"fax_number": "216-252-4930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN RESERVE MEDICAL SUPPLY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2011-07-08",
"status": "A",
"authorized_official_last_name": "GILLIGAN",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "216-252-3900"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0862633",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Western Reserve Home Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.