Organization
RESIDENTIAL MEDICAL SUPPLY SERVICES
Active
Other names
Residential Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES LEE KELLY SEABORN (PRESIDENT)
(510) 553-9159
Entity
Organization
Contact information
Practice address
7200 BANCROFT AVE, SUITE 128, OAKLAND, CA 94605-2403
(510) 553-9159
(510) 553-9256
Mailing address
7200 BANCROFT AVE, SUITE 128, OAKLAND, CA 94605-2403
(510) 553-9159
(510) 553-9256
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1232010
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9480431
—
CA
Enumeration date
08/04/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up