Affordable Homehealth Medical Equipment & Supply Co.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

537153 Issued in CT

Legal business name

AFFORDABLE HOMEHEALTH MEDICAL EQUIPMENT & SUPPLY CO.

Practice address

375 Morgan LN
Unit 107
West Haven, CT 06516-4157

Phone

(203) 931-9099

Fax

(203) 931-8778

NPI assigned

Jan 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joe Jarvis

Title

Vice Prersident

Phone

(203) 931-9099

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639229743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 MORGAN LN",
            "address_2": "UNIT 107",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164157",
            "telephone_number": "203-931-9099",
            "fax_number": "203-931-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MORGAN LN",
            "address_2": "UNIT 107",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164157",
            "telephone_number": "203-931-9099",
            "fax_number": "203-931-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE HOMEHEALTH MEDICAL EQUIPMENT & SUPPLY CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "VICE PRERSIDENT",
        "authorized_official_telephone_number": "203-931-9099"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "537153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4251451",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in West Haven, CT
• Providers in West Haven, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.