Senior Depot LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1055498 Issued in CT

Legal business name

SENIOR DEPOT LLC

Practice address

195 Federal Rd
Suite 2
Brookfield, CT 06804-2556

Phone

(203) 775-1095

Fax

(203) 775-1098

NPI assigned

Dec 4, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Martin Alan Lynch

Title

Owner

Phone

(203) 241-5113

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1861867608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 FEDERAL RD",
            "address_2": "SUITE 2",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042556",
            "telephone_number": "203-775-1095",
            "fax_number": "203-775-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FEDERAL RD",
            "address_2": "SUITE 2",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042556",
            "telephone_number": "203-775-1095",
            "fax_number": "203-775-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR DEPOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-241-5113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "1055498",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "CT",
            "license": "1055498",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CT",
            "license": "1055498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory M Schiller, PT
• Pamela Suzanne Schramm, O.D.
• Scott a. Bialik, DDS LLC
• Matthew Wilson Scott, DC
• Bekim Selmani, LMT
• Daniel L Sequeira
• Amy Maria Serino, LPC
• Akash Jayesh Shah, MD
• Eliza Shaker
• Trina L Shuptar, CLINICAL SOCIAL WORK

• Durable Medical Equipment & Medical Supplies in Brookfield, CT
• Providers in Brookfield, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.