Active NPI
Civility Medical Supplies LLC
- Durable Medical Equipment & Medical Supplies
- Danbury, CT
National Provider Identifier
1376280040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CIVILITY MEDICAL SUPPLIES LLC
- Practice address
- 1 Padanaram Rd.
Ste 106
Danbury, CT 06811 - Phone
- (203) 678-0438
- Fax
- (845) 278-1930
- NPI assigned
- May 16, 2022
- 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
- Mr. Daryn E Clark
- Title
- Managing Member
- Phone
- (203) 947-6086
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X | |||
| Nursing Facility Supplies (DME) | 332BN1400X |
Addresses
Primary practice location
1 Padanaram Rd.
Ste 106
Danbury, CT 06811
Mailing address
155 Main Street.
Unit 307a
Brewster, NY 10509
Phone (845) 363-8523
National Provider Directory
National Provider Directory- Tax ID family
- Civility Medical Supplies LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Brewster, NY
- NPI 1861139545
Locations
1 Padanaram Rd
Ste 106
Danbury, CT 06811
Phone (203) 678-0438
155 Main St
Unit 307A
Brewster, NY 10509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652659200000",
"number": "1376280040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 MAIN STREET.",
"address_2": "UNIT 307A",
"city": "BREWSTER",
"state": "NY",
"postal_code": "10509",
"telephone_number": "845-363-8523",
"fax_number": "845-278-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PADANARAM RD.",
"address_2": "STE 106",
"city": "DANBURY",
"state": "CT",
"postal_code": "06811",
"telephone_number": "203-678-0438",
"fax_number": "845-278-1930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIVILITY MEDICAL SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-16",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "DARYN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "203-947-6086",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.