Healthcare Provider Details

I. General information

NPI: 1669897757
Provider Name (Legal Business Name): GOOD NIGHT MEDICAL OF OHIO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2014
Last Update Date: 05/27/2022
Certification Date: 05/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 SWANTON ST
WINCHESTER MA
01890
US

IV. Provider business mailing address

8999 GEMINI PKWY STE 220
COLUMBUS OH
43240-2249
US

V. Phone/Fax

Practice location:
  • Phone: 781-396-3683
  • Fax: 614-386-0278
Mailing address:
  • Phone: 614-384-7433
  • Fax: 614-386-0278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: GREGORY J CRAWFORD
Title or Position: CEO
Credential:
Phone: 859-441-8876