Organization Active NPI

Lifeway Ease, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hartford, CT
National Provider Identifier
1912375650
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIFEWAY EASE, LLC
Practice address
40 A Weston Street
Hartford, CT 06120-1538
Phone
(860) 292-1111
NPI assigned
Sep 11, 2015
Organization subpart
Yes
Parent organization
LIFEWAY MOBILITY HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Mr. Paul M Bergantino
Title
President/Ceo
Phone
(860) 292-1111

Specialties & licenses 1

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

Addresses

Primary practice location

40 A Weston Street
Hartford, CT 06120-1538

Mailing address

40 A Weston Street
Hartford, CT 06120-1538
Phone (860) 292-1111

Other names 1

  • Lifeway Mobility Doing business as

National Provider Directory

National Provider Directory

Locations

40 Weston St
Ste A
Hartford, CT 06120
Phone (860) 292-1111

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1912375650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 A WESTON STREET",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061201538",
            "telephone_number": "860-292-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 A WESTON STREET",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061201538",
            "telephone_number": "860-292-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWAY EASE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFEWAY MOBILITY HOLDINGS, LLC",
        "enumeration_date": "2015-09-11",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "BERGANTINO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "860-292-1111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeway Mobility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lifeway Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.