Active NPI
To Life Inc
- Durable Medical Equipment & Medical Supplies
- Delmar, NY
National Provider Identifier
1750452322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10034360 | Other | NY | CDPHP |
| 400930000 | Other | NY | BS NENY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Durable Medical Equipment & Medical Supplies
- Saratoga Springs, NY
- NPI 1992259188
5698896769
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Durable Medical Equipment & Medical Supplies
- Saratoga Springs, NY
- NPI 1992259188
O20140205001577
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| To Life, Inc. | Breast Prostheses and/or Accessories|Surgical Dressings|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryNPI 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.