Healthcare Provider Details

I. General information

NPI: 1144265802
Provider Name (Legal Business Name): PRAXAIR HEALTHCARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 11/03/2009
Certification Date:
Deactivation Date: 10/23/2008
Reactivation Date: 02/11/2009

III. Provider practice location address

5520 CLOVERLEAF PKWY REAR
CLEVELAND OH
44125-4815
US

IV. Provider business mailing address

3220 DALWORTH ST ATTN: JULIE DAVIS
ARLINGTON TX
76011-6812
US

V. Phone/Fax

Practice location:
  • Phone: 216-883-3500
  • Fax: 866-885-6473
Mailing address:
  • Phone: 972-660-7900
  • Fax: 203-702-6883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SCOTT KALTRIDER
Title or Position: PRESIDENT
Credential:
Phone: 203-837-2330