Healthcare Provider Details

I. General information

NPI: 1144306150
Provider Name (Legal Business Name): WRIGHT CARE HOME MEDICAL SUPPLIES,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 05/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 BIGGS LANE
SOUTH SHORE KY
41175
US

IV. Provider business mailing address

4130 GALLIA ST
NEW BOSTON OH
45662-5511
US

V. Phone/Fax

Practice location:
  • Phone: 606-932-9205
  • Fax: 606-932-3364
Mailing address:
  • Phone: 740-456-4363
  • Fax: 740-456-1938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberHMER22709
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License NumberHMER22709
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number149668
License Number StateKY

VIII. Authorized Official

Name: MS. DAWN R BARKER
Title or Position: BUSINESS MANAGER
Credential:
Phone: 740-456-4363