Centrad Healthcare, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0000001084 Issued in TN

Legal business name

CENTRAD HEALTHCARE, LLC

Practice address

8549 Cordes Cir
#100
Germantown, TN 38139-3370

Phone

(901) 755-8412

NPI assigned

May 1, 2013

Last updated

May 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William R Korslin

Title

Ceo

Phone

(630) 369-5840

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1982049144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 SHUMAN BLVD",
            "address_2": "SUITE 130",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8549 CORDES CIR",
            "address_2": "#100",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381393370",
            "telephone_number": "901-755-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAD HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "KORSLIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-369-5840"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0000001084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1519732",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME MEDICAL EQUIPMENT LICENSURE",
            "identifier": "0000001084",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cameron Gabrielle Cavette, RN
• Jenny Cavitch, FNP
• Emilio Cazano
• CC Bpci PLC
• Osman Cengiz, MD
• Claire R Cepeda, CRNA
• Eliza Bruce Chance
• Jason C Chandler, M.D
• Shara Marie Chandler, SHARA
• Danielle Forrest Chando, FNP

• Durable Medical Equipment & Medical Supplies in Germantown, TN
• Providers in Germantown, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.