Connecticut Medical Supply LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Enfield, CT
NPI 1497916951 · NPPES record last updated Sep 9, 2020
Key facts
- NPI
- 1497916951
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- CONNECTICUT MEDICAL SUPPLY LLC
- Practice address
- 243 Hazard Ave
Enfield, CT 06082-4647 - Phone
- (860) 749-4070
- Fax
- (860) 749-0214
- NPI assigned
- Jun 18, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Anthony Dean Saracino
- Title
- Vice President
- Phone
- (860) 749-4070
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Connecticut Medical Supply LLC |
Commodes, Urinals, Bedpans|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Ultraviolet Light Devices and/or Su… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930033170 | CT | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 0345430963 | Practice locations: Enfield, CT |
National Provider Directory
Locations
243 Hazard Ave
Enfield, CT 06082
Phone (860) 749-4070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
243 Hazard Ave
Enfield, CT 06082-4647
Mailing address
243 Hazard Ave
Enfield, CT 06082-4647
Phone (860) 749-4070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P008032113 | Medicaid | CT |
Other providers in Enfield, CT
- Connecticut CVS Pharmacy LLC
- Connecticut CVS Pharmacy LLC.
- Connecticut CVS Pharmacy, L.L.C.
- Connecticut Eye Care, LLC
- Connecticut Imaging Partners, LLC
- Connecticut Surgical Group, PC
- Connecticut Valley General & Vascular Surgical Assoc PC
- Gregg A Connolly
- Joni Ann Conroy
- Sharmin Arshad Contractor
All providers in Enfield, CT · Durable Medical Equipment & Medical Supplies in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.