Active NPI
RV Brunner Inc
- Durable Medical Equipment & Medical Supplies
- Mentor, OH
National Provider Identifier
1598765174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1086506 | Medicaid | OH |
Other names 1
- Brunner Health Care
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.