Care Giver Support Products, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

NV20051673028 Issued in NV

Legal business name

CARE GIVER SUPPORT PRODUCTS, LLC

Practice address

723 S Casino Center Blvd
Floor 2
Las Vegas, NV 89101-6716

Phone

(510) 569-2627

Fax

(510) 315-3057

NPI assigned

Mar 24, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Judith Lauer Seidmeyer, R. PH.

Title

Manager / President

Phone

(510) 569-2627

Specialties & licenses 2

Addresses

Other names 1

• FAWSsit Portable Showers, LLC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1275927550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 WOODLAND PARK",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945773733",
            "telephone_number": "510-569-2627",
            "fax_number": "510-315-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 S CASINO CENTER BLVD",
            "address_2": "FLOOR 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016716",
            "telephone_number": "510-569-2627",
            "fax_number": "510-315-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE GIVER SUPPORT PRODUCTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "SEIDMEYER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "LAUER",
        "authorized_official_title_or_position": "MANAGER / PRESIDENT",
        "authorized_official_telephone_number": "510-569-2627",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "201022210234",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NV",
            "license": "NV20051673028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAWSsit Portable Showers, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Las Vegas, NV
• Customized Equipment (DME) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.