Provider Demographics
NPI:1982768875
Name:RHODORA FIORE GEN PRT
Entity Type:Organization
Organization Name:RHODORA FIORE GEN PRT
Other - Org Name:R & F HOME MEDICAL EQUIPMENT & SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RHODORA
Authorized Official - Middle Name:VALLADA
Authorized Official - Last Name:FIORE
Authorized Official - Suffix:
Authorized Official - Credentials:RCFE HMDR LICENSEE
Authorized Official - Phone:707-426-1770
Mailing Address - Street 1:1076 HORIZON DR STE 4
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-8200
Mailing Address - Country:US
Mailing Address - Phone:707-426-1770
Mailing Address - Fax:
Practice Address - Street 1:1076 HORIZON DR STE 4
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-8200
Practice Address - Country:US
Practice Address - Phone:707-426-1770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100831942332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5895860001Medicare NSC