Healthcare Provider Details

I. General information

NPI: 1780847848
Provider Name (Legal Business Name): ORION MAPLE HEIGHTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 07/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16231 BROADWAY AVE
MAPLE HEIGHTS OH
44137-2526
US

IV. Provider business mailing address

16231 BROADWAY AVE
MAPLE HEIGHTS OH
44137-2526
US

V. Phone/Fax

Practice location:
  • Phone: 216-662-0551
  • Fax:
Mailing address:
  • Phone: 216-662-0551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: ADAM WHITE
Title or Position: AR MANAGER
Credential: MBA
Phone: 614-416-2638