1942339056 NPI number — GREENE RESPIRATORY SERVICES, INC

Table of content: LUIS ROLANDO TOCA MONTERO SR. (NPI 1043993447)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942339056 NPI number — GREENE RESPIRATORY SERVICES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GREENE RESPIRATORY SERVICES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942339056
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/10/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
55 W TECHNE CENTER DR STE A1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MILFORD
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45150-8901
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-831-0507
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
921 BEASLEY ST STE 110
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40509-4106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-294-0231
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ESCAMILLA
Authorized Official First Name:
ANTONIO
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
513-831-0507

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 90003765 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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