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CONNECTICUT SUPPORT SERVICES HOLDINGS LLC NPI 1043476005


NPI Information

NPI: 1043476005
Provider Name: CONNECTICUT SUPPORT SERVICES HOLDINGS, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 07D1074423

Address:
786 W QUEEN ST
SOUTHINGTON, CT
ZIP 06489
Phone: (860) 426-9868
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CONNECTICUT SUPPORT SERVICES HOLDINGS, LLC is a durable medical equipment medical supplies in Southington, CT. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CONNECTICUT SUPPORT SERVICES HOLDINGS, LLC NPI is 1043476005. The provider is registered as an organization entity type.

The provider's business location address is:

786 W QUEEN ST
SOUTHINGTON, CT
ZIP 06489-060
Phone: (860) 426-9868
Fax: (860) 426-9869

The provider's authorized official is Daniel Laifer .
The authorized official title is Member and has the following contact phone number (860) 426-9868.

The CLIA number assigned to this NPI record is 07D1074423 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2008 and was last updated on 3/19/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility SuppliesNo
2332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
3332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16148260001MEDICARE NSCCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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