Provider Demographics
NPI:1548621238
Name:RITECARE MEDICAL SUPPLIES
Entity type:Organization
Organization Name:RITECARE MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WARRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:EKWUEME
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:347-912-0243
Mailing Address - Street 1:9906 212TH ST
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11429-1149
Mailing Address - Country:US
Mailing Address - Phone:347-912-0243
Mailing Address - Fax:
Practice Address - Street 1:9906 212TH ST
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11429-1149
Practice Address - Country:US
Practice Address - Phone:347-912-0243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-09
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies