Healthcare Provider Details
I. General information
NPI: 1477580546
Provider Name (Legal Business Name): SAV-RITE HOME CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2006
Last Update Date: 07/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1403 CUMBERLAND FALLS HWY
CORBIN KY
40701-2722
US
IV. Provider business mailing address
1275 MASTER ST
CORBIN KY
40701-2564
US
V. Phone/Fax
- Phone: 606-528-2588
- Fax:
- Phone: 606-528-2515
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WILLIAM
A
KECK
III
Title or Position: PRESIDENT
Credential: R.PH.
Phone: 606-528-2588