LTC Supply Corporation

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

LTC SUPPLY CORPORATION

Practice address

150 Smokerise Dr
Wadsworth, OH 44281-8701

Phone

(614) 297-6967

Fax

(614) 297-7380

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Rick L Raynard

Title

Billing Manager

Phone

(614) 297-6967

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1558433482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SMOKERISE DR",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SMOKERISE DR",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818701",
            "telephone_number": "614-297-6967",
            "fax_number": "614-297-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC SUPPLY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "RAYNARD",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "614-297-6967"
    },
    "taxonomies": [
        {
            "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": "0218857",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lo-Med Prescription Services, LLC
• Sheila A Loeding, RN
• Hannah Leigh Logsdon, DO
• Donna L Los, M.S.
• Lindsey Lovsey, LMT
• Marianne Madden, R.N.
• Diane Melynne Magas
• Magnolia Village Retirement Community, LTD
• Neeraj Mahajan, MD
• Amy Mancini, IMFT

• Oxygen Equipment & Supplies (DME) in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Oxygen Equipment & Supplies (DME) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.