Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Dialysis Equipment & Supplies |
332BD1200X | 87 | All Other Suppliers | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
In Home Supportive Care |
253Z00000X | |||
Parenteral & Enteral Nutrition |
332BP3500X | 87 | All Other Suppliers | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI # | 1366120057 |
| LBN Legal business name | GREAT PLAINS RESTORATIVE SERVICES, LLC |
| Authorized official | GREGORY LORD - (CHIEF EXECUTIVE OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/11/2023 |
| Last updated | 01/27/2025 - More than a year ago |
| Identifiers | n/a |
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