Provider Demographics
NPI:1811229560
Name:NATIONWIDE HOME MEDICAL RETAIL, INC.
Entity Type:Organization
Organization Name:NATIONWIDE HOME MEDICAL RETAIL, INC.
Other - Org Name:TOGETHERHEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, TREASURER/SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCHWALD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-839-1600
Mailing Address - Street 1:1560 SAWGRASS CORPORATE PARKWAY
Mailing Address - Street 2:SUITE 140
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323
Mailing Address - Country:US
Mailing Address - Phone:954-839-1600
Mailing Address - Fax:888-454-2047
Practice Address - Street 1:1560 SAWGRASS CORPORATE PARKWAY
Practice Address - Street 2:SUITE 140
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323
Practice Address - Country:US
Practice Address - Phone:954-839-1600
Practice Address - Fax:888-454-2047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-05
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6391370001Medicare NSC