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WHITESTAR PROFESSIONAL CORPORATION NPI 1477768091


NPI Information

NPI: 1477768091
Provider Name: WHITESTAR PROFESSIONAL CORPORATION

Doing Business As: SKYVISION CENTERS

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 36D2020001

Address:
2237 CROCKER RD # 100
WESTLAKE, OH
ZIP 44145
Phone: (440) 892-3931
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WHITESTAR PROFESSIONAL CORPORATION is a durable medical equipment medical supplies in Westlake, OH. The provider is 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. WHITESTAR PROFESSIONAL CORPORATION NPI is 1477768091. The provider is registered as an organization entity type.
The provider Is Doing Business As Skyvision Centers.

The provider's business location address is:

2237 CROCKER RD # 100
WESTLAKE, OH
ZIP 44145-789
Phone: (440) 892-3931

The provider's authorized official is Darrell White .
The authorized official title is President and has the following contact phone number (440) 892-3931.

The CLIA number assigned to this NPI record is 36D2020001 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 6/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12534574MEDICAIDOHIO
29347561MEDICARE ID-TYPE UNSPECIFIEDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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