Provider Demographics
NPI:1225097330
Name:OCEAN STATE REHAB EQUIPMENT INC
Entity Type:Organization
Organization Name:OCEAN STATE REHAB EQUIPMENT INC
Other - Org Name:MAJORS MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAMON
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-231-7100
Mailing Address - Street 1:197 PUTNAM PIKE
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-1468
Mailing Address - Country:US
Mailing Address - Phone:401-231-7100
Mailing Address - Fax:401-231-0763
Practice Address - Street 1:197 PUTNAM PIKE
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-1468
Practice Address - Country:US
Practice Address - Phone:401-231-7100
Practice Address - Fax:401-231-0763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI00332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI5730001Medicaid
RI5730001Medicaid