MEDICARE ADVANTAGE TECH LLC NPI 1720498926

NPI Information

  • NPI: 1720498926
  • Provider Name: MEDICARE ADVANTAGE TECH LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 4821 SHADY GROVE RD
    GLEN ALLEN, VA
    ZIP 23059
  • Phone: (804) 339-5746

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NPI Details

MEDICARE ADVANTAGE TECH LLC is a durable medical equipment medical supplies in Glen Allen, VA. 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. MEDICARE ADVANTAGE TECH LLC NPI is 1720498926. The provider is registered as an organization entity type.

The provider's business location address is:

4821 SHADY GROVE RD
GLEN ALLEN, VA
ZIP 23059-004
Phone: (804) 339-5746
Fax: (804) 612-8671

The provider's authorized official is Winston Felix Devisser .
The authorized official title is Owner/member and has the following contact phone number (804) 339-5746.

The enumeration date for this NPI number is 4/28/2014 and was last updated on 4/28/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesS5034840VIRGINIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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