Icon Health Services, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ICON HEALTH SERVICES, LLC

Practice address

9 Glenwood Ave
Suite 2
Norwalk, CT 06854-1504

Phone

(800) 243-8370

Fax

(888) 374-0626

NPI assigned

Jun 23, 2013

Last updated

Jun 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Emeka Obinna Enu Jr.

Title

President

Phone

(917) 686-3432

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1371945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371945600000",
    "number": "1366881344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CONNECTICUT AVE",
            "address_2": "#124",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068541824",
            "telephone_number": "800-243-8370",
            "fax_number": "888-374-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 GLENWOOD AVE",
            "address_2": "SUITE 2",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068541504",
            "telephone_number": "800-243-8370",
            "fax_number": "888-374-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICON HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-23",
        "last_updated": "2013-06-23",
        "status": "A",
        "authorized_official_last_name": "ENU",
        "authorized_official_first_name": "EMEKA",
        "authorized_official_middle_name": "OBINNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-686-3432",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Norwalk, CT
• Providers in Norwalk, CT by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2013; 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.