=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396974358
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE KARRINGTON COMPANY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/10/2009
-----------------------------------------------------
Last Update Date | 07/10/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | ONE ELIZABETH PLACE
-----------------------------------------------------
City | DAYTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45408
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-220-9770
-----------------------------------------------------
Fax | 937-220-9776
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2 RIVER PLACE SUITE 330
-----------------------------------------------------
City | DAYTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45405
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-220-9770
-----------------------------------------------------
Fax | 937-220-9776
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. MARK G PARKS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 937-220-9770
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------