Organization Active NPI

Independence, LLC

  • Durable Medical Equipment & Medical Supplies
  • East Providence, RI
National Provider Identifier
1336202811
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Dec 7, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1440001MedicaidRI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930040978 RI DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Pedorthic PersonnelDME Supplier - Certified Orth/Pros/PedorthistDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Orthotic Personnel 3072634401 Practice locations: E Providence, RI

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Independence LLC2224 Pawtucket Ave, E Providence, RI 02914-1716(401) 273-8888 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 assignmentParticipating since May 20, 1999

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

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.

Verify at the official NPI Registry.