PRINCESS CORSET AND LINGERIE SHOP, LLC (NPI# 1346572781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346572781 |
| Entity Type | Organization |
| Organization Name | PRINCESS CORSET AND LINGERIE SHOP, LLC |
| Practice Address |
102 Grand Street Waterbury CT 06702 |
| Mailing Address |
102 Grand St Waterbury CT 06702-1909 |
| Practice Telephone | 2037553640 |
| Mailing Telephone | 2037553640 |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2012-07-05 |
| Authorized Official Name | MRS. CHARLENE ANGELA JURGAITIS (PROPRIETOR) |
| Authorized Official Telephone | 2037553640 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
102 GRAND STREET |
| City | WATERBURY |
| State | CT |
| Zip Code | 06702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700024585 | Charlene Angela Jurgaitis | Durable Medical Equipment & Medical Supplies | 102 Grand Street, Waterbury, CT 06702 | 2009-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780120295 | Melitza Velez | Counselor | 80 Prospect St., Waterbury, CT 06702 | 2017-01-09 |
| 1467813600 | Ashley Joseph | Counselor | 30 Holmes Ave, Waterbury, CT 06702 | 2016-03-16 |
| 1649662313 | Lori Arens | Social Worker | 141 E Main St Fl 4, Waterbury, CT 06702 | 2015-03-04 |
| 1265725584 | Zelda Shleifer | Audiologist | 21 W Main St Fl Place-3, Waterbury, CT 06702 | 2011-05-19 |
| 1518090570 | Nathan Z Imre | Pharmacist | 161 East Main St Central Pharmacy, Waterbury, CT 06702 | 2007-03-13 |
| 1922149467 | Rachael A Petitti | Social Worker | 402 East Main Street, Waterbury, CT 06702 | 2007-02-09 |
| 1710024484 | Abbot Terrace Health Center | Assisted Living Facility | 44 Abbott Terrace, Waterbury, CT 06702 | 2007-01-31 |
| 1205994555 | Michael Arcangel Padilla | Social Worker | Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 | 2006-12-05 |
| 1205902723 | Colette M Anderson | Social Worker | 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2006-11-27 |
| 1487733382 | Cheryl Lynn Cappabianca | Social Worker | 95 Thomaston Avenue, 540 Litchfield Street Suite 410 Torrington, Ct, Waterbury, CT 06702 | 2006-11-03 |
| Find all providers in zip 06702 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232300 | Stephen Brody | Durable Medical Equipment & Medical Supplies | 127 Franklin St, Waterbury, CT 06706-1233 | 2020-07-13 |
| 1356754261 | Headexpressions By Sherry | Durable Medical Equipment & Medical Supplies | 394 Mill St, Waterbury, CT 06706-1405 | 2014-06-09 |
| 1417208448 | Sherry L Gatling | Durable Medical Equipment & Medical Supplies | 394 Mill Street, 2nd Flr N, Waterbury, CT 06706 | 2012-10-01 |
| 1235364571 | Proxtalker.com,llc | Durable Medical Equipment & Medical Supplies | 327 Huntingdon Ave, Waterbury, CT 06708-1413 | 2009-05-15 |
| 1174761811 | J & L Medical Services | Durable Medical Equipment & Medical Supplies | 497 Watertown Ave, Waterbury, CT 06708-2204 | 2009-02-03 |
| 1700024585 | Charlene Angela Jurgaitis | Durable Medical Equipment & Medical Supplies | 102 Grand Street, Waterbury, CT 06702 | 2009-02-02 |
| 1407069610 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 60 Bank St Ste 100, Waterbury, CT 06702-2203 | 2007-05-07 |
| 1700950854 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 497 Watertown Ave Ste 3, Waterbury, CT 06708-2204 | 2006-11-20 |
| 1831262831 | Rite Aid of Connecticut Inc | Durable Medical Equipment & Medical Supplies | 141 Meriden Road, Waterbury, CT 06705-1937 | 2006-11-16 |
| 1063594422 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 300 Chase Ave, Waterbury, CT 06704-2246 | 2006-10-19 |
| Find all providers in WATERBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.