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JRSP CORPORATION NPI 1760480743


NPI Information

NPI: 1760480743
Provider Name: JRSP CORPORATION

Doing Business As: LIFELINE MEDICAL & DIABETIC SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1211 GAR HWY
SWANSEA, MA
ZIP 02777
Phone: (508) 646-6400
Get Directions

JRSP CORPORATION is a durable medical equipment medical supplies in Swansea, MA. 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. JRSP CORPORATION NPI is 1760480743. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifeline Medical & Diabetic Supply.

The provider's business location address is:

1211 GAR HWY
SWANSEA, MA
ZIP 02777-225
Phone: (508) 646-6400

The provider's authorized official is Stephen Micheal Puscizna .
The authorized official title is Manager Owner and has the following contact phone number (508) 646-6400.

The enumeration date for this NPI number is 7/13/2005 and was last updated on 4/5/2011.


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
1335E00000XProsthetic/Orthotic Supplier1092840001MASSACHUSETTSNo
2332B00000XDurable Medical Equipment & Medical Supplies389254MASSACHUSETTSNo
3333600000XPharmacy3369MASSACHUSETTSNo
4332B00000XDurable Medical Equipment & Medical Supplies1538586MASSACHUSETTSNo
5332B00000XDurable Medical Equipment & Medical Supplies1092840001MASSACHUSETTSYes

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
1389254OTHERMASSACHUSETTSBCBS OF MASS PROVIDER #
21092840001MEDICARE NSCMASSACHUSETTS
31538586MEDICAIDMASSACHUSETTS
43369OTHERMASSACHUSETTSMASS PHARMACY LIC#

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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