Organization Active NPI

Americare Medical Supply L.L.C.

  • Durable Medical Equipment & Medical Supplies
  • Hebron, CT
National Provider Identifier
1467509604
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AMERICARE MEDICAL SUPPLY L.L.C.
Practice address
7 Liberty Dr
Hebron, CT 06248-0342
Phone
(860) 228-0606
Fax
(860) 228-6903
NPI assigned
Jan 3, 2007
Last updated
Feb 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Mr. Kenneth S Houston
Title
Managing Member of LLC
Phone
(860) 228-0606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

7 Liberty Dr
Hebron, CT 06248-0342

Mailing address

PO Box 342
7 Liberty Drive
Hebron, CT 06248-0342
Phone (860) 228-0606

Other identifiers 2

IdentifierTypeStateIssuer
004190261MedicaidCT
12DME0667CT01OtherCTANTHEM OF CT-DME

National Provider Directory

National Provider Directory

Locations

7 Liberty Dr
Hebron, CT 06248
Phone (860) 228-0606

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1467509604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342",
            "address_2": "7 LIBERTY DRIVE",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062480342",
            "telephone_number": "860-228-0606",
            "fax_number": "860-228-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LIBERTY DR",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062480342",
            "telephone_number": "860-228-0606",
            "fax_number": "860-228-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICARE MEDICAL SUPPLY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MEMBER OF LLC",
        "authorized_official_telephone_number": "860-228-0606",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "004190261",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM OF CT-DME",
            "identifier": "12DME0667CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.