Code One Medical Solutions, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

CODE ONE MEDICAL SOLUTIONS, LLC

Practice address

27 Meadow St
Floor 2
Willimantic, CT 06226-2506

Phone

(860) 786-1789

Fax

(888) 427-7448

NPI assigned

Aug 17, 2010

Last updated

Aug 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard C Shok, RN, BSN, EMS-I

Title

Owner

Phone

(860) 786-1789

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1790090553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MEADOW ST",
            "address_2": "FLOOR 2",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262506",
            "telephone_number": "860-786-1789",
            "fax_number": "888-427-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MEADOW ST",
            "address_2": "FLOOR 2",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262506",
            "telephone_number": "860-786-1789",
            "fax_number": "888-427-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODE ONE MEDICAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "SHOK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-786-1789",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, BSN, EMS-I"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Willimantic, CT
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• Nursing Care Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.