Active NPI
Supportive Threads LLC
- Durable Medical Equipment & Medical Supplies
- Glastonbury, CT
National Provider Identifier
1851969489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SUPPORTIVE THREADS LLC
- Practice address
- 300 Winding Brook Drive
Level 2 Ste 4
Glastonbury, CT 06033 - Phone
- (203) 605-8963
- NPI assigned
- Jun 10, 2021
- 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
- Ms. Carrie D Elderkin
- Title
- Practice Manager
- Phone
- (203) 605-8963
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
300 Winding Brook Drive
Level 2 Ste 4
Glastonbury, CT 06033
Mailing address
300 Winding Brook Drive
Level 2 Ste 4
Glastonbury, CT 06033
Phone (203) 605-8963
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624752000000",
"number": "1851969489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 WINDING BROOK DRIVE",
"address_2": "LEVEL 2 STE 4",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "06033",
"telephone_number": "203-605-8963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WINDING BROOK DRIVE",
"address_2": "LEVEL 2 STE 4",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "06033",
"telephone_number": "203-605-8963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPPORTIVE THREADS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-10",
"last_updated": "2021-06-27",
"certification_date": "2021-06-27",
"status": "A",
"authorized_official_last_name": "ELDERKIN",
"authorized_official_first_name": "CARRIE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "203-605-8963",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.