Active NPI
Procaire, LLC
- Oxygen Equipment & Supplies (DME)
- Southington, CT
National Provider Identifier
1760530190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- PROCAIRE, LLC
- Practice address
- 51 Triano Dr
Southington, CT 06489-1779 - Phone
- (860) 643-5126
- NPI assigned
- Jan 8, 2007
- 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
- Natasha Brielmann
- Title
- General Manager
- Phone
- (860) 643-5126
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
51 Triano Dr
Southington, CT 06489-1779
Mailing address
PO Box 801
Tolland, CT 06084-0801
Phone (860) 643-5126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004175495 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
77 Summit St
Manchester, CT 06040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604275200000",
"number": "1760530190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 801",
"city": "TOLLAND",
"state": "CT",
"postal_code": "060840801",
"telephone_number": "860-643-5126",
"fax_number": "860-643-0815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 TRIANO DR",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064891779",
"telephone_number": "860-643-5126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROCAIRE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A",
"authorized_official_last_name": "BRIELMANN",
"authorized_official_first_name": "NATASHA",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "860-643-5126"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004175495",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.