Organization Active NPI

Kimberly Healthcare Group LLC

  • Durable Medical Equipment & Medical Supplies
  • Newington, CT
National Provider Identifier
1548359557
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
N/A
Legal business name
KIMBERLY HEALTHCARE GROUP LLC
Practice address
133 Louis St
Newington, CT 06111-4517
Phone
(860) 667-9933
Fax
(860) 667-4069
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Barbara L. Bouchard
Title
Owner
Phone
(860) 667-9933

Specialties & licenses 1

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

Addresses

Primary practice location

133 Louis St
Newington, CT 06111-4517

Mailing address

17 Waterhouse LN
Chester, CT 06412-1267
Phone (860) 667-9933

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548359557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WATERHOUSE LN",
            "city": "CHESTER",
            "state": "CT",
            "postal_code": "064121267",
            "telephone_number": "860-667-9933",
            "fax_number": "860-667-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 LOUIS ST",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114517",
            "telephone_number": "860-667-9933",
            "fax_number": "860-667-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOUCHARD",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-667-9933",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.