CRESTHAVEN MEDICAL SUPPLY LLC (NPI# 1336772003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336772003 |
| Entity Type | Organization |
| Organization Name | CRESTHAVEN MEDICAL SUPPLY LLC |
| Practice Address |
2577 S Hamilton Rd Columbus OH 43232-4964 |
| Mailing Address |
7735 Havens Ct W Blacklick OH 43004-9555 |
| Practice Telephone | 6146001544 |
| Mailing Telephone | 6146001544 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | MR. ERIC OBENG (PARTNER) |
| Authorized Official Telephone | 6146001544 |
| Authorized Official Credential | B(PHARM) |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
2577 S HAMILTON RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43232-4964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831739119 | Evina Emvoutou | Community Health Worker | 2166 Riverdale Square, Columbus, OH 43232 | 2020-01-14 |
| 1538712484 | Dominic Nchamukong | Nurse Practitioner | 4646 Hilton Corporate Dr, Columbus, OH 43232 | 2019-07-19 |
| 1871058602 | Angelique Jackson | Registered Nurse | 2376 Carlford Street, Columbus, OH 43232 | 2019-02-06 |
| 1033693569 | Mount Carmel Behavioral Healthcare, LLC | Psychiatric Hospital | 4646 Hilton Corporate Drive, Columbus, OH 43232 | 2018-09-20 |
| 1720500523 | Annie D Jordan | Home Health Aide | 5049 Gunston Dr, Columbus, OH 43232 | 2017-07-13 |
| 1750755286 | Stephanie Baker | Community Health Worker | 6127 Roselawn Ave, Columbus, OH 43232 | 2015-11-20 |
| 1982076527 | Nicole Allen | Licensed Practical Nurse | 2067 Prestwick Drive, Columbus, OH 43232 | 2015-10-22 |
| 1508255357 | Andrea Tarr | Licensed Practical Nurse | 2492 Daily Rd, Columbus, OH 43232 | 2015-01-16 |
| 1205240694 | Alemsege Berhe | Licensed Practical Nurse | 1841 Riverdale Rd, Cplumbus, OH 43232 | 2014-06-13 |
| 1386987048 | Mikeyla Burrs | Licensed Practical Nurse | 1622 Noe Bixby Rd Apt C, Columbus, OH 43232 | 2013-04-01 |
| Find all providers in zip 43232 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578972 | Steel City Medical Supplies | Durable Medical Equipment & Medical Supplies | 5900 Roche Dr Ste 315, Columbus, OH 43229-3292 | 2020-05-06 |
| 1578125860 | Sisters of Mercy Urgent Care, Inc | Durable Medical Equipment & Medical Supplies | 140 West Mills St, Suite A, Columbus, NC 28722-2872 | 2019-07-08 |
| 1063975787 | Sunny Dme, LLC | Durable Medical Equipment & Medical Supplies | 6555 Busch Blvd Ste 102, Columbus, OH 43229-1790 | 2019-04-09 |
| 1699240168 | Dasco Central Ohio, LLC | Durable Medical Equipment & Medical Supplies | 2348 Advanced Business Center Dr, Columbus, OH 43228-9040 | 2018-10-10 |
| 1063990620 | Ohio Medical Pharmacy Delivery LLC | Durable Medical Equipment & Medical Supplies | 4770 Sullivant Ave, Columbus, OH 43228-1918 | 2018-08-04 |
| 1942797345 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 1892 North High St, Columbus, OH 43210 | 2018-04-20 |
| 1740781301 | Flexmobility LLC | Durable Medical Equipment & Medical Supplies | 7000 Storage Ct Ste 20, Columbus, GA 31907-0705 | 2018-02-27 |
| 1578071965 | The Brace Experts LLC | Durable Medical Equipment & Medical Supplies | 1491 Polaris Pkwy Ste 20834, Columbus, OH 43240-2041 | 2018-01-19 |
| 1457865792 | First Choice Medical Equipment | Durable Medical Equipment & Medical Supplies | 867 W Town St Ste 102, Columbus, OH 43222-1662 | 2017-11-23 |
| 1962912113 | Drug Store Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2932 Groveport Rd, Columbus, OH 43207-3255 | 2017-10-02 |
| Find all providers in COLUMBUS | ||||
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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.