Organization Active NPI

Western Reserve Medical Supply Inc

  • Oxygen Equipment & Supplies (DME)
  • Parma, OH
National Provider Identifier
1528069846
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
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

Updated by the provider on Jul 8, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0862633MedicaidOH

Other names 1

  • Western Reserve Home Medical Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.