Provider Demographics
NPI:1265016570
Name:GOOD NIGHT MEDICAL OF OHIO, LLC
Entity Type:Organization
Organization Name:GOOD NIGHT MEDICAL OF OHIO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:RUDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-499-0776
Mailing Address - Street 1:8999 GEMINI PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-2250
Mailing Address - Country:US
Mailing Address - Phone:877-753-3742
Mailing Address - Fax:844-326-3117
Practice Address - Street 1:5370 SUNSET BLVD STE A
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-9260
Practice Address - Country:US
Practice Address - Phone:877-753-3742
Practice Address - Fax:844-326-3117
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOOD NIGHT MEDICAL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies