Active NPI
Aging With Attitude Medical Supplies, Inc.
Doing business as Awa Medical Supplies
- Durable Medical Equipment & Medical Supplies
- Danbury, CT
National Provider Identifier
1902956832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 2700524-001
- Legal business name
- AGING WITH ATTITUDE MEDICAL SUPPLIES, INC.
- Doing business as
- Awa Medical Supplies
- Practice address
- 272 Main St
Danbury, CT 06810-6624 - Phone
- (203) 791-9383
- NPI assigned
- Jan 11, 2007
- Last updated
- Aug 22, 2020
- 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
- Ivette Rivera
- Title
- President
- Phone
- (203) 791-9383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2700524-001 | CT | Primary |
Addresses
Primary practice location
272 Main St
Danbury, CT 06810-6624
Mailing address
272 Main St
Danbury, CT 06810-6624
Phone (203) 791-9383
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02689389 | Medicaid | NY | |
| 00424683200 | Medicaid | CT | |
| 12DME0837CT01 | Other | CT | ANTHEM BLUE CROSS |
| 278914 | Other | CT | PREFERRED ONE WELL CARE |
Other names 1
- AWA MEDICAL SUPPLIES
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930055547 | CT | DME Supplier - Medical Supply Company | 5092924894 | Practice locations: Danbury, CT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Awa Medical Supplies | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Ne… | Does not accept assignment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902956832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 MAIN ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106624",
"telephone_number": "203-791-9383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 MAIN ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106624",
"telephone_number": "203-791-9383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGING WITH ATTITUDE MEDICAL SUPPLIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "IVETTE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-791-9383"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CT",
"license": "2700524-001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02689389",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00424683200",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "12DME0837CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE WELL CARE",
"identifier": "278914",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AWA MEDICAL SUPPLIES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.