Provider Demographics
NPI:1164629051
Name:RITECARE MEDICAL COMPANY, INC.
Entity Type:Organization
Organization Name:RITECARE MEDICAL COMPANY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:MARKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-497-9121
Mailing Address - Street 1:550 SAINT CHARLES DR
Mailing Address - Street 2:STE 101 B
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-3996
Mailing Address - Country:US
Mailing Address - Phone:805-497-9121
Mailing Address - Fax:877-483-3234
Practice Address - Street 1:550 SAINT CHARLES DR
Practice Address - Street 2:STE 101 B
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-3996
Practice Address - Country:US
Practice Address - Phone:805-497-9121
Practice Address - Fax:877-483-3234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6044490001Medicare NSC