NPIMap

Organization Active NPI

Survivor Friendly LLC

  • Durable Medical Equipment & Medical Supplies
  • Cary, NC
National Provider Identifier
1659970770
Registry record updated Jul 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SURVIVOR FRIENDLY LLC
Practice address
527 Keisler Dr Ste 104
Cary, NC 27518-9306
Phone
(919) 474-9336
NPI assigned
Oct 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2021

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

Authorized official

Name
Jacqueline Cromity
Title
Ceo
Phone
(919) 394-7456

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

527 Keisler Dr Ste 104
Cary, NC 27518-9306

Mailing address

527 Keisler Dr Ste 104
Cary, NC 27518-9306
Phone (919) 394-7456

Other practice location 1

1100 S Lafayette St
Shelby, NC 28152-6708
Phone (704) 482-9938

Other names 3

  • Dignity Products Doing business as
  • Manelines Unique Boutique Doing business as
  • Survivor Friendly Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210208001560 NC DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Prosthetic Personnel 1658785449 Practice locations: Cary, NC

Other NPIs with the same Medicare PAC ID 3

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Survivor Friendly LLC527 Keisler Dr, Cary, NC 27518-9306(919) 747-9336 Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 6, 2021

National Provider Directory

National Provider Directory
Tax ID family
Survivor Friendly LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

527 Keisler Dr
Ste 104
Cary, NC 27518
Phone (919) 613-1905

267 Timber Dr
Unit 1002
Garner, NC 27529

4101 Macon Pond Rd
Ste 1158
Raleigh, NC 27607

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625270400000",
    "number": "1659970770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 KEISLER DR STE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189306",
            "telephone_number": "919-394-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 KEISLER DR STE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189306",
            "telephone_number": "919-474-9336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Lafayette St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281526708",
            "country_code": "US",
            "telephone_number": "704-482-9938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SURVIVOR FRIENDLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2021-07-03",
        "certification_date": "2021-07-03",
        "status": "A",
        "authorized_official_last_name": "CROMITY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-394-7456"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dignity Products",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Manelines Unique Boutique",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Manelines Unique Boutique",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Survivor Friendly",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.