Provider Demographics
NPI:1144306150
Name:WRIGHT CARE HOME MEDICAL SUPPLIES,INC.
Entity type:Organization
Organization Name:WRIGHT CARE HOME MEDICAL SUPPLIES,INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-456-4363
Mailing Address - Street 1:4130 GALLIA ST
Mailing Address - Street 2:
Mailing Address - City:NEW BOSTON
Mailing Address - State:OH
Mailing Address - Zip Code:45662-5511
Mailing Address - Country:US
Mailing Address - Phone:740-456-4363
Mailing Address - Fax:740-456-1938
Practice Address - Street 1:74 BIGGS LANE
Practice Address - Street 2:
Practice Address - City:SOUTH SHORE
Practice Address - State:KY
Practice Address - Zip Code:41175
Practice Address - Country:US
Practice Address - Phone:606-932-9205
Practice Address - Fax:606-932-3364
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STERLING HOME HEALT CARE INC DBA GENESIS RESPIRATORY SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-31
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHHMER22709332BX2000X, 332BP3500X
KY149668332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0694744Medicaid
KY90010455Medicaid
KY90010455Medicaid