Organization Active NPI

Procaire, LLC

  • Oxygen Equipment & Supplies (DME)
  • Southington, CT
National Provider Identifier
1760530190
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
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

Updated by the provider on Nov 2, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004175495MedicaidCT

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.