Healthcare Provider Details

I. General information

NPI: 1689615460
Provider Name (Legal Business Name): GREENE RESPIRATORY SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 06/21/2023
Certification Date: 06/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 W TECHNE CENTER DR
MILFORD OH
45150-8901
US

IV. Provider business mailing address

815 US HIGHWAY 50
MILFORD OH
45150-9513
US

V. Phone/Fax

Practice location:
  • Phone: 513-831-0507
  • Fax: 513-831-4051
Mailing address:
  • Phone: 513-831-0507
  • Fax: 513-831-4051

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 NumberHMER 22038
License Number StateOR

VIII. Authorized Official

Name: MR. TONY ESCAMILLA
Title or Position: PRESIDENT
Credential:
Phone: 513-831-0507