MEDICARE: OPEN RANGE MEDICAL SUPPLY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1629951702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPEN RANGE MEDICAL SUPPLY INC.

Provider Business Mailing Address
First Line	:	405 PASEO DE PERALTA
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87501-1938
Country	:	US
Telephone Number	:	831-454-6977
Fax Number	:	505-772-9077

Provider Business Practice Location Address
First Line	:	405 PASEO DE PERALTA
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87501-1938
Country	:	US
Telephone Number	:	831-454-6977
Fax Number	:	505-772-9077

Authorized Official
Title or Position	:	OWNER-NURSE PRACTITIONER
Name	:	NAOMI LEGATE
Credential	:	CNP
Telephone Number	:	505-531-0202

Provider Enumeration Date	:	07/28/2025
Last Update Date	:	07/28/2025

Similar Medicare Providers

1568070084 — NIGHTINGALE NURSING AND HOME HEALTH LLC
Practice Location Address:

405 PASEO DE PERALTA
SANTA FE, NM
87501-1938

Practice Phone: 505-310-4450
Practice Fax:

1154034882 — COUNTY OF SANTA CLARA
Practice Location Address:

725 E SANTA CLARA ST STE 300
SAN JOSE, CA
95112-1938

Practice Phone: 408-885-5000
Practice Fax:

1053026898 — COUNTY OF SANTA CLARA
Practice Location Address:

725 E SANTA CLARA ST STE 300
SAN JOSE, CA
95112-1938

Practice Phone: 408-885-5000
Practice Fax:

1659158764 — COUNTY OF SANTA CLARA
Practice Location Address:

725 E SANTA CLARA ST STE 300
SAN JOSE, CA
95112-1938

Practice Phone: 408-885-5000
Practice Fax:

1538926084 — KINSHIP CARE AND THERAPY LICENSE CLINICAL SOCIAL WORKER P.C
Practice Location Address:

1342 10TH ST APT 103
SANTA MONICA, CA
90401-1938

Practice Phone: 213-255-9267
Practice Fax:

1497886881 — ECECD-FAMILIES FIRST
Practice Location Address:

1120 PASEO DE PERALTA
SANTA FE, NM
87501

Practice Phone: 877-842-4251
Practice Fax:

Directions to “OPEN RANGE MEDICAL SUPPLY INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.