Organization Active NPI

Cardinal Home Medical Inc.

  • Oxygen Equipment & Supplies (DME)
  • Lakewood, OH
National Provider Identifier
1629174560
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
HMEP 33005 Issued in OH
Legal business name
CARDINAL HOME MEDICAL INC.
Practice address
1387 Marlowe Ave
Suite #6
Lakewood, OH 44107-2676
Phone
(216) 226-1112
Fax
(216) 226-2409
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Richard Lee Bennett, R.R.T.
Title
Secretary/Respiratory Therapist
Phone
(216) 226-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X HMEP 33005 OH Primary

Addresses

Primary practice location

1387 Marlowe Ave
Suite #6
Lakewood, OH 44107-2676

Mailing address

1387 Marlowe Ave
Suite #6
Lakewood, OH 44107-2676
Phone (216) 226-1112

Other identifiers 1

IdentifierTypeStateIssuer
0197844MedicaidOH

National Provider Directory

National Provider Directory

Locations

1387 Marlowe Ave
Ste 6
Lakewood, OH 44107
Phone (216) 226-1112

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629174560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 MARLOWE AVE",
            "address_2": "SUITE #6",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072676",
            "telephone_number": "216-226-1112",
            "fax_number": "216-226-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 MARLOWE AVE",
            "address_2": "SUITE #6",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072676",
            "telephone_number": "216-226-1112",
            "fax_number": "216-226-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL HOME MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SECRETARY/RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "216-226-1112",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.R.T."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OH",
            "license": "HMEP 33005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197844",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.