NPIMap

Organization Active NPI

Survivor Friendly, LLC

  • Customized Equipment (DME)
  • Raleigh, NC
National Provider Identifier
1316613490
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
SURVIVOR FRIENDLY, LLC
Practice address
4101 Macon Pond Rd RM 1158
Raleigh, NC 27607-6319
Phone
(919) 747-9336
NPI assigned
Aug 19, 2021
Organization subpart
Yes
Parent organization
SURVIVOR FRIENDLY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Jacqueline Cromity
Title
Owner / Authorized Official
Phone
(919) 474-9336

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

4101 Macon Pond Rd RM 1158
Raleigh, NC 27607-6319

Mailing address

527 Keisler Dr Ste 104
Cary, NC 27518-9306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230327001272 NC DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic-Prosthetic 1658785449 Practice locations: Raleigh, NC

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Survivor Friendly LLC6 organizations share this tax ID, including this one
Part of
Survivor Friendly LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4101 Macon Pond Rd
Rm 1258
Raleigh, NC 27607

4101 Macon Pond Rd
Rm 1158
Raleigh, NC 27607
Phone (919) 307-0160

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1316613490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 KEISLER DR STE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MACON POND RD RM 1158",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076319",
            "telephone_number": "919-747-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURVIVOR FRIENDLY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SURVIVOR FRIENDLY, LLC",
        "enumeration_date": "2021-08-19",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "CROMITY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "919-474-9336"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.