Active NPI
1St State Accessibility, LLC
- Customized Equipment (DME)
- Wilmington, DE
National Provider Identifier
1356721658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- 1ST STATE ACCESSIBILITY, LLC
- Practice address
- 105 Brookside Dr
Wilmington, DE 19804-1103 - Phone
- (302) 559-5652
- Fax
- (844) 663-4396
- NPI assigned
- Jun 2, 2015
- Last updated
- Apr 3, 2018
- 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
- Teal A Connell
- Title
- Owner
- Phone
- (302) 559-5652
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Customized Equipment (DME) | 332BC3200X | NU | Primary | |
| Home Modifications Contractor | 171WH0202X | 2015603828 | DE | |
| Assistive Technology Supplier Rehabilitation Counselor | 225CA2500X | NU | ||
| Emergency Response System Companies | 333300000X | NU |
Addresses
Primary practice location
105 Brookside Dr
Wilmington, DE 19804-1103
Mailing address
105 Brookside Dr
Wilmington, DE 19804-1103
Phone (302) 559-5652
National Provider Directory
National Provider DirectoryLocations
105 Brookside Dr
Wilmington, DE 19804
Phone (302) 559-5652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522713600000",
"number": "1356721658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 BROOKSIDE DR",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198041103",
"telephone_number": "302-559-5652",
"fax_number": "844-663-4396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 BROOKSIDE DR",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198041103",
"telephone_number": "302-559-5652",
"fax_number": "844-663-4396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "1ST STATE ACCESSIBILITY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-02",
"last_updated": "2018-04-03",
"status": "A",
"authorized_official_last_name": "CONNELL",
"authorized_official_first_name": "TEAL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "302-559-5652"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "DE",
"license": "2015603828",
"primary": false
},
{
"code": "225CA2500X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Assistive Technology Supplier",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333300000X",
"taxonomy_group": "",
"desc": "Emergency Response System Companies",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.