Shoreline Medical Equipment, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

CSW.0001502 Issued in CT

Legal business name

SHORELINE MEDICAL EQUIPMENT, LLC

Practice address

59 School Ground Rd
Unit# 5
Branford, CT 06405-2868

Phone

(203) 488-0303

Fax

(203) 488-0606

NPI assigned

Aug 19, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Brendon Peter O'Brien

Title

Owner

Phone

(203) 488-0303

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1982696480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 SCHOOL GROUND RD",
            "address_2": "UNIT# 5",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052868",
            "telephone_number": "203-488-0303",
            "fax_number": "203-488-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 SCHOOL GROUND RD",
            "address_2": "UNIT# 5",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052868",
            "telephone_number": "203-488-0303",
            "fax_number": "203-488-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "BRENDON",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-488-0303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "CSW.0001502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004245529",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CT TAX ID#",
            "identifier": "1978105-000",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devynn Shook, LMFTA
• Shoreline Aquatic Therapy, LLC
• Shoreline Center for Family Counseling & Psychotherapy, LLC
• Shoreline Dental Sleep Therapy, LLC
• Shoreline Health LLC
• Shoreline Neuropsychology and Behavioral Health, LLC
• Shoreline Nutrition Counseling, LLC
• Shoreline Psychiatric
• Si-Hoi Lam, MD, LLC
• Jodi Silverman, LCSW

• Durable Medical Equipment & Medical Supplies in Branford, CT
• Providers in Branford, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.