Organization Active NPI

Mail Order Incontinent Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Indianapolis, IN
National Provider Identifier
1790945947
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MAIL ORDER INCONTINENT SUPPLIES LLC
Practice address
8470 Allison Pointe Blvd
Suite 100
Indianapolis, IN 46250-4364
Phone
(317) 203-0630
Fax
(317) 203-7077
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Ms. Sydonne Newland
Title
Manager
Phone
(317) 203-0630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

8470 Allison Pointe Blvd
Suite 100
Indianapolis, IN 46250-4364

Mailing address

8470 Allison Pointe Blvd
Suite 100
Indianapolis, IN 46250-4364
Phone (317) 203-0630

Other identifiers 1

IdentifierTypeStateIssuer
200903660AMedicaidIN

National Provider Directory

National Provider Directory

Locations

8470 Allison Pointe Blvd
Ste 100
Indianapolis, IN 46250
Phone (317) 554-4220

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1790945947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8470 ALLISON POINTE BLVD",
            "address_2": "SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504364",
            "telephone_number": "317-203-0630",
            "fax_number": "317-203-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8470 ALLISON POINTE BLVD",
            "address_2": "SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504364",
            "telephone_number": "317-203-0630",
            "fax_number": "317-203-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIL ORDER INCONTINENT SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "NEWLAND",
        "authorized_official_first_name": "SYDONNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-203-0630",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200903660A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.