Healthcare Provider Details

I. General information

NPI: 1588820591
Provider Name (Legal Business Name): REXON HEALTHCARE PRODUCTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2008
Last Update Date: 07/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24500 HIGHPOINT RD
BEACHWOOD OH
44122-6002
US

IV. Provider business mailing address

2980 LAMPLIGHT LN
WILLOUGHBY OH
44094-8463
US

V. Phone/Fax

Practice location:
  • Phone: 216-288-5063
  • Fax: 216-292-7714
Mailing address:
  • Phone: 216-288-5063
  • Fax: 216-292-7714

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 Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. MOHAMMAD R FARUKHI
Title or Position: OWNER - CEO
Credential: PHD
Phone: 216-288-5063