Organization Active NPI

Your Personal Defibrillator Expert, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hilton Head Island, SC
National Provider Identifier
1902126501
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
YOUR PERSONAL DEFIBRILLATOR EXPERT, LLC
Practice address
23B Shelter Cove LN
100-A
Hilton Head Island, SC 29928-3592
Phone
(770) 364-7237
NPI assigned
Jun 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Mr. Mark Adelman, J.D.
Title
President/Ceo
Phone
(770) 364-7237

Specialties & licenses 1

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

Addresses

Primary practice location

23B Shelter Cove LN
100-A
Hilton Head Island, SC 29928-3592

Mailing address

23B Shelter Cove LN
100-A
Hilton Head Island, SC 29928-3592
Phone (770) 364-7237

Other names 1

  • Good To Be Alive Doing business as

National Provider Directory

National Provider Directory

Locations

23B Shelter Cove Ln
Ste 100A
Hilton Head Island, SC 29928
Phone (770) 364-7237

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1902126501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23B SHELTER COVE LN",
            "address_2": "100-A",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299283592",
            "telephone_number": "770-364-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23B SHELTER COVE LN",
            "address_2": "100-A",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299283592",
            "telephone_number": "770-364-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR PERSONAL DEFIBRILLATOR EXPERT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "ADELMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "770-364-7237",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good To Be Alive",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.