OHIO CUSTOM ORTHOTICS LLC (NPI# 1659612125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659612125 |
| Entity Type | Organization |
| Organization Name | OHIO CUSTOM ORTHOTICS LLC |
| Practice Address |
2621 Dryden Rd Ste 106 Moraine OH 45439-1661 |
| Mailing Address |
17600 Chesterfield Airport Rd Ste. 204 Chesterfield MO 63005-1246 |
| Practice Telephone | 3148212600 |
| Practice Fax Number | 8887702935 |
| Mailing Telephone | 3148212600 |
| Mailing Fax Number | 8887702935 |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-03-08 |
| Authorized Official Name | DON HAVEY (OWNER) |
| Authorized Official Telephone | 3148212600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | OHIO CUSTOM ORTHOTICS LLC | 17600 Chesterfield Airport Rd. Ste 204, Chesterfield, MO 63005 |
| Street Address |
2621 DRYDEN RD STE 106 |
| City | MORAINE |
| State | OH |
| Zip Code | 45439-1661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437318821 | Innovative Senior Care Home Health of Ohio LLC | Home Health | 2621 Dryden Rd, Suite 107, Moraine, OH 45439-1661 | 2008-06-02 |
| 1982237897 | Dipika Chand | Dietitian, Registered | 2621 Dryden Rd, Moraine, OH 45439-1661 | 2020-02-19 |
| 1346606308 | David Riley | Counselor | 2621 Dryden Rd, Suite 310, Moraine, OH 45439-1661 | 2016-01-06 |
| 1275915134 | Robert Skipper | Counselor | 2621 Dryden Rd, Suite 310, Moraine, OH 45439-1661 | 2015-06-26 |
| 1396097986 | Arc Therapy Services LLC | Hospice Care, Community Based | 2621 Dryden Rd, Suite 204, Moraine, OH 45439-1661 | 2012-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455260 | Joseph Michael Meacham | Counselor | 3059 Kettering Blvd., Moraine, OH 45439 | 2020-04-02 |
| 1932673597 | Sabrina M Nichols | Behavior Technician | 5290 Cobblegate Drive, Moraine, OH 45439 | 2019-01-17 |
| 1013406040 | Chevelle Antionette Bennett | Licensed Practical Nurse | 4964 Springboco Pk, Mocaine, OH 45439 | 2018-05-04 |
| 1205332418 | Vincent A Mcbride | Case Manager/Care Coordinator | 3350 South Kettering Blvd, Moraine, OH 45439 | 2018-04-05 |
| 1124532635 | Rodescu Macklin | Counselor | 200 Daruma Parkway, Moraine, OH 45439 | 2017-11-20 |
| 1194248872 | Blu Diamond Home Care LLC | Home Health | 3481 Office Park Drive, Suite 12d, Dayton, OH 45439 | 2017-07-25 |
| 1003342692 | Chadonn Cummings | Social Worker | 3905 Kettering Blvd, Moriane, OH 45439 | 2017-05-03 |
| 1962959098 | Jessica Woody | Counselor | 3011kettering Blvd, Suite 311, Moraine, OH 45439 | 2016-09-07 |
| 1427409309 | Aida E Scanlon | Physician Assistant | 3445 S Dixie Dr, Moraine, OH 45439 | 2016-06-22 |
| 1881048908 | Judith Crum | Counselor | 4983 Joyce Dr., Dayton, OH 45439 | 2016-04-14 |
| Find all providers in zip 45439 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382901 | Rehab Medical, LLC | Durable Medical Equipment & Medical Supplies | 66 Industry Ct Ste A, Troy, OH 45373-2560 | 2020-10-01 |
| 1578172292 | Joelle Patterson | Durable Medical Equipment & Medical Supplies | 5346 Rifle Dr, Canal Winchester, OH 43110-9061 | 2020-07-28 |
| 1013526334 | Genesis Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 3777 James Ct Ste 1b, Zanesville, OH 43701-8127 | 2020-07-23 |
| 1801411327 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 2329 Crowne Point Dr, Sharonville, OH 45241-5405 | 2020-06-10 |
| 1346861820 | Responsive Home Health Care, Inc. | Durable Medical Equipment & Medical Supplies | 8555 Sweet Valley Dr Ste M, Valley View, OH 44125-4210 | 2020-05-06 |
| 1629602198 | Dental Sleep Apnea Therapy Strongsville LLC | Durable Medical Equipment & Medical Supplies | 11925 Pearl Rd Ste 206, Strongsville, OH 44136-3343 | 2020-02-24 |
| 1407495674 | Aretha Marie Smith | Durable Medical Equipment & Medical Supplies | 11711 Mccracken Rd, Garfield Hts, OH 44125-2846 | 2020-01-05 |
| 1316598238 | Mobility Plus of Dayton | Durable Medical Equipment & Medical Supplies | 2603 Needmore Rd, Dayton, OH 45414-4205 | 2019-09-23 |
| 1558911511 | J's Natural Beauty LLC | Durable Medical Equipment & Medical Supplies | 7600 Hamilton Ave Ste A, Cincinnati, OH 45231-3102 | 2019-09-12 |
| 1992358766 | Mercy Health Physicians-north LLC | Durable Medical Equipment & Medical Supplies | 521 Louisiana Ave, Perrysburg, OH 43551-2272 | 2019-07-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.