Organization Active NPI

RV Brunner Inc

  • Durable Medical Equipment & Medical Supplies
  • Mentor, OH
National Provider Identifier
1598765174
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RV BRUNNER INC
Practice address
8444 Mentor Avenue
Mentor, OH 44060-5817
Phone
(440) 255-6786
Fax
(440) 255-7949
NPI assigned
Jul 26, 2005
Organization subpart
Yes
Parent organization
RV BRUNNER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Mrs. Judy B Giancola
Title
Owner
Phone
(440) 255-6786

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 43-031132 OH
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

8444 Mentor Avenue
Mentor, OH 44060-5817

Mailing address

8444 Mentor Avenue
Mentor, OH 44060-5817
Phone (440) 255-6786

Other identifiers 1

IdentifierTypeStateIssuer
1086506MedicaidOH

Other names 1

  • Brunner Health Care Other name

National Provider Directory

National Provider Directory
Part of
R V Brunner Inc

Locations

8444 Mentor Ave
Mentor, OH 44060
Phone (440) 255-6786

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1598765174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8444 MENTOR AVENUE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605817",
            "telephone_number": "440-255-6786",
            "fax_number": "440-255-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8444 MENTOR AVENUE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605817",
            "telephone_number": "440-255-6786",
            "fax_number": "440-255-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RV BRUNNER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RV BRUNNER INC",
        "enumeration_date": "2005-07-26",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "GIANCOLA",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-255-6786",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "43-031132",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1086506",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brunner Health Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.