Active NPI
DME Living Well, LLC
Doing business as DME Living Well
- Oxygen Equipment & Supplies (DME)
- Fiskdale, MA
National Provider Identifier
1972265205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- DME LIVING WELL, LLC
- Doing business as
- DME Living Well
- Practice address
- 484 Main St
Fiskdale, MA 01518-1302 - Phone
- (508) 682-5661
- Fax
- (508) 409-3658
- NPI assigned
- Oct 13, 2021
- Last updated
- Mar 15, 2024
- Organization subpart
- Yes
- Parent organization
- DME LIVING WELL, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mohammad Sharaf
- Title
- President
- Phone
- (860) 674-1601
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
484 Main St
Fiskdale, MA 01518-1302
Mailing address
85 Commerce St
Glastonbury, CT 06033-2312
Phone (860) 674-1601
Other names 1
- DME Living Well
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | msharaf@dmelivingwell.com | Direct |
National Provider Directory
National Provider Directory- Part of
- DME Living Well LLC
Locations
85 Commerce St
Glastonbury, CT 06033
297 E Center St
Manchester, CT 06040
534 Middle Tpke E
Ste B
Manchester, CT 06040
Phone (860) 645-1935
484 Main St
Unit 4
Fiskdale, MA 01518
Phone (860) 674-1601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710460800000",
"number": "1972265205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 COMMERCE ST",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332312",
"telephone_number": "860-674-1601",
"fax_number": "508-409-3658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 MAIN ST",
"city": "FISKDALE",
"state": "MA",
"postal_code": "015181302",
"telephone_number": "508-682-5661",
"fax_number": "508-409-3658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DME LIVING WELL, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DME LIVING WELL, LLC",
"enumeration_date": "2021-10-13",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A",
"authorized_official_last_name": "SHARAF",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "860-674-1601",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "msharaf@dmelivingwell.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "484 Main St",
"city": "Fiskdale",
"state": "MA",
"country_code": "US",
"postal_code": "015181302",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "DME Living Well",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fiskdale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.