NPIMap

Organization Active NPI

Max-Wellness, LLC

  • Durable Medical Equipment & Medical Supplies
  • Westlake, OH
National Provider Identifier
1790012862
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MAX-WELLNESS, LLC
Practice address
30045 Detroit Rd
Westlake, OH 44145-1944
Phone
(216) 765-2500
Fax
(216) 765-2501
NPI assigned
Nov 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Authorized official

Name
Mr. Patrick William Johnson
Title
SVP Finance & Administration
Phone
(216) 765-2507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

30045 Detroit Rd
Westlake, OH 44145-1944

Mailing address

4400 Renaissance Pkwy
Suite 4
Warrensville Heights, OH 44128-5794
Phone (216) 765-2500

National Provider Directory

National Provider Directory
Tax ID family
Max-Wellness LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4400 Renaissance Pkwy
Ste 4
Warrensville Heights, OH 44128
Phone (216) 765-2500

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1790012862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 RENAISSANCE PKWY",
            "address_2": "SUITE 4",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285794",
            "telephone_number": "216-765-2500",
            "fax_number": "216-765-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30045 DETROIT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451944",
            "telephone_number": "216-765-2500",
            "fax_number": "216-765-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX-WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "SVP FINANCE & ADMINISTRATION",
        "authorized_official_telephone_number": "216-765-2507",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.