Organization Active NPI

To Life Inc

  • Durable Medical Equipment & Medical Supplies
  • Delmar, NY
National Provider Identifier
1750452322
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TO LIFE INC
Practice address
410 Kenwood Ave
Delmar, NY 12054-3227
Phone
(518) 439-5975
Fax
(518) 475-9141
NPI assigned
Nov 13, 2006
Last updated
Jun 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Mrs. Eileen Howe Bird
Title
Executive Director
Phone
(518) 439-5975

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X A9282
Durable Medical Equipment & Medical Supplies 332B00000X L8020
Durable Medical Equipment & Medical Supplies 332B00000X L8030
Durable Medical Equipment & Medical Supplies 332B00000X L8000
Durable Medical Equipment & Medical Supplies 332B00000X L8015
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

410 Kenwood Ave
Delmar, NY 12054-3227

Mailing address

410 Kenwood Ave
Delmar, NY 12054-3227
Phone (518) 439-5975

Other identifiers 2

IdentifierTypeStateIssuer
10034360OtherNYCDPHP
400930000OtherNYBS NENY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930078747 NY DME Supplier - Prosthetic Personnel 5698896769 Practice locations: Delmar, NY
O20140205001577 NY DME Supplier - Prosthetic Personnel 5698896769 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saratoga Springs, NY

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
To Life, Inc.410 Kenwood Ave, Delmar, NY 12054-3227(518) 439-5975 Breast Prostheses and/or Accessories|Surgical Dressings|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jul 19, 2000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1750452322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 KENWOOD AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120543227",
            "telephone_number": "518-439-5975",
            "fax_number": "518-475-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 KENWOOD AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120543227",
            "telephone_number": "518-439-5975",
            "fax_number": "518-475-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TO LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "HOWE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-439-5975",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "A9282",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "L8020",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "L8030",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "L8000",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "L8015",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10034360",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS NENY",
            "identifier": "400930000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.