Active NPI
Independence, LLC
- Durable Medical Equipment & Medical Supplies
- East Providence, RI
National Provider Identifier
1336202811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- INDEPENDENCE, LLC
- Practice address
- 2224 Pawtucket Ave Unit 3
East Providence, RI 02914-1716 - Phone
- (401) 273-8888
- Fax
- (401) 273-9986
- NPI assigned
- Dec 18, 2006
- 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
- Todd Ackerman
- Title
- President
- Phone
- (401) 273-8888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2224 Pawtucket Ave Unit 3
East Providence, RI 02914-1716
Mailing address
2224 Pawtucket Ave Unit 3
East Providence, RI 02914-1716
Phone (401) 273-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1440001 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930040978 | RI | DME Supplier - Medical Supply Company | 3072634401 | Practice locations: E Providence, RI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Independence LLC | Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Access… | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember organizations 2
Organizations listed as members of this organization in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- South Yarmouth, MA
- NPI 1356381172
Member Of
-
- Durable Medical Equipment & Medical Supplies
- Mendon, MA
- NPI 1831176437
Member Of
Locations
2224 Pawtucket Ave
Unit 3
East Providence, RI 02914
Phone (401) 273-8888
35 Agnes St
East Providence, RI 02914
Phone (401) 273-8888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670371200000",
"number": "1336202811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2224 PAWTUCKET AVE UNIT 3",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029141716",
"telephone_number": "401-273-8888",
"fax_number": "401-273-9986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2224 PAWTUCKET AVE UNIT 3",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029141716",
"telephone_number": "401-273-8888",
"fax_number": "401-273-9986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDENCE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A",
"authorized_official_last_name": "ACKERMAN",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-273-8888"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1440001",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.