Provider Demographics
NPI:1609858729
Name:RGH ENTERPRISES, LLC
Entity Type:Organization
Organization Name:RGH ENTERPRISES, LLC
Other - Org Name:EDGEPARK MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-321-0591
Mailing Address - Street 1:1810 SUMMIT COMMERCE PARK
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-2300
Mailing Address - Country:US
Mailing Address - Phone:330-963-6998
Mailing Address - Fax:330-405-5674
Practice Address - Street 1:1810 SUMMIT COMMERCE PARK
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087
Practice Address - Country:US
Practice Address - Phone:330-963-6998
Practice Address - Fax:330-405-5674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-15
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0166020001Medicare NSC