Organization Active NPI

1St State Accessibility, LLC

  • Customized Equipment (DME)
  • Wilmington, DE
National Provider Identifier
1356721658
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.