Organization Active NPI

DME Holdings, LLC

  • Durable Medical Equipment & Medical Supplies
  • Stratford, CT
National Provider Identifier
1528098449
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
9308768-000 Issued in CT
Legal business name
DME HOLDINGS, LLC
Practice address
1151 Stratford Ave
Stratford, CT 06615-6312
Phone
(203) 377-1144
Fax
(866) 381-6072
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Mr. William FletcherNPI 1558647396
Title
President
Phone
(203) 377-1144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 9308768-000 CT Primary

Addresses

Primary practice location

1151 Stratford Ave
Stratford, CT 06615-6312

Mailing address

1151 Stratford Ave
Stratford, CT 06615-6312
Phone (203) 377-1144

Other identifiers 1

IdentifierTypeStateIssuer
004188381MedicaidCT

Other names 1

  • Liberty Rehab & Patient Aid Center Doing business as

National Provider Directory

National Provider Directory

Locations

65 Stillwater Ave
Stamford, CT 06902
Phone (203) 327-5250

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1528098449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 STRATFORD AVE",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066156312",
            "telephone_number": "203-377-1144",
            "fax_number": "866-381-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 STRATFORD AVE",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066156312",
            "telephone_number": "203-377-1144",
            "fax_number": "866-381-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DME HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-377-1144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "9308768-000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004188381",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Rehab & Patient Aid Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.