Organization Active NPI

Le Grand Associates Inc

  • Customized Equipment (DME)
  • Schnecksville, PA
National Provider Identifier
1508923087
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
66611 Issued in PA
Legal business name
LE GRAND ASSOCIATES INC
Practice address
4110 Independence Dr
Suite #400
Schnecksville, PA 18078-2585
Phone
(610) 769-4000
Fax
(215) 496-1693
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Mr. Joseph A Legrand, BCO, BADO
Title
President
Phone
(215) 496-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 66611 PA Primary

Addresses

Primary practice location

4110 Independence Dr
Suite #400
Schnecksville, PA 18078-2585

Mailing address

590 Reed Rd Ste 7
Broomall, PA 19008-3654
Phone (215) 496-1307

Other identifiers 1

IdentifierTypeStateIssuer
007149205 0002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930061137 PA DME Supplier - Prosthetic PersonnelDME Supplier - Ocularist 7416074174 Practice locations: Schnecksville, PA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Legrand Assoc of PGH5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

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": "1629417600000",
    "number": "1508923087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 REED RD STE 7",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083654",
            "telephone_number": "215-496-1307",
            "fax_number": "215-496-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 INDEPENDENCE DR",
            "address_2": "SUITE #400",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782585",
            "telephone_number": "610-769-4000",
            "fax_number": "215-496-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE GRAND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "LEGRAND",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-496-1307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCO, BADO"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": "66611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007149205 0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schnecksville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.