A Natural Image

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

A NATURAL IMAGE

Practice address

694 Hartford Rd
Manchester, CT 06040-4722

Phone

(860) 432-7773

Fax

(860) 432-7318

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Jean Gentilcore

Title

Store Owner

Phone

(860) 432-7773

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1720147218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 HARTFORD RD",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404722",
            "telephone_number": "860-432-7773",
            "fax_number": "860-432-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 HARTFORD RD",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404722",
            "telephone_number": "860-432-7773",
            "fax_number": "860-432-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NATURAL IMAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "GENTILCORE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "STORE OWNER",
        "authorized_official_telephone_number": "860-432-7773",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.