Active NPI
Home Care Medical LLC
- Oxygen Equipment & Supplies (DME)
- Branford, CT
National Provider Identifier
1124207782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- HOME CARE MEDICAL LLC
- Practice address
- 53 East Industrial Road
Suite B2
Branford, CT 06405 - Phone
- (203) 483-9414
- Fax
- (203) 483-9354
- NPI assigned
- Oct 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Frank Marra
- Title
- Owner
- Phone
- (203) 483-9414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
53 East Industrial Road
Suite B2
Branford, CT 06405
Mailing address
53 East Industrial Road
Suite B2
Branford, CT 06405
Phone (203) 483-9414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004192100 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
53 E Industrial Rd
Ste B2
Branford, CT 06405
Phone (203) 483-9414
53 E Industrial Rd
Ste B
Branford, CT 06405
Phone (203) 483-9414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287446400000",
"number": "1124207782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 EAST INDUSTRIAL ROAD",
"address_2": "SUITE B2",
"city": "BRANFORD",
"state": "CT",
"postal_code": "06405",
"telephone_number": "203-483-9414",
"fax_number": "203-483-9354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 EAST INDUSTRIAL ROAD",
"address_2": "SUITE B2",
"city": "BRANFORD",
"state": "CT",
"postal_code": "06405",
"telephone_number": "203-483-9414",
"fax_number": "203-483-9354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME CARE MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-31",
"last_updated": "2010-10-19",
"status": "A",
"authorized_official_last_name": "MARRA",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-483-9414",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004192100",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Branford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.