RANDYS MOM LLC (NPI# 1477922011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477922011 |
| Entity Type | Organization |
| Organization Name | RANDYS MOM LLC |
| Practice Address |
515 Keisler Dr Ste 102 Cary NC 27518-7097 |
| Practice Telephone | 9197576844 |
| Practice Fax Number | 9192302510 |
| Mailing Telephone | 9197576844 |
| Mailing Fax Number | 9192302510 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |
| Authorized Official Name | JULIA SIMMONS (OWNER) |
| Authorized Official Telephone | 9197576844 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
515 KEISLER DR STE 102 |
| City | CARY |
| State | NC |
| Zip Code | 27518-7097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710027677 | Julia Simmons | Case Manager/Care Coordinator | 515 Keisler Dr Ste 102, Cary, NC 27518-7097 | 2007-02-07 |
| 1437760345 | Freedom2care Dpc, Pllc | Clinic/Center | 515 Keisler Dr Ste 102, Cary, NC 27518-7097 | 2020-08-13 |
| 1932569605 | Insight Counseling Center, Pllc | Counselor | 515 Keisler Dr Ste 102, Cary, NC 27518-7097 | 2016-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
| 1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
| Find all providers in zip 27518 | ||||
| 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 |
|---|---|---|---|---|
| 1841830197 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 1231 Ne Maynard Rd Ste A, Cary, NC 27513-4175 | 2020-01-14 |
| 1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
| 1467936971 | Mend Medical and Wellness Store, LLC | Durable Medical Equipment & Medical Supplies | 1063 Darrington Dr, Cary, NC 27513-8133 | 2018-09-20 |
| 1659738151 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3430 Ten Ten Rd, Cary, NC 27518-6158 | 2016-01-28 |
| 1518369214 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 1020 Bradford Plaza Way, Cary, NC 27519 | 2014-09-24 |
| 1811304678 | Wake Specialty Physicians, LLC | Durable Medical Equipment & Medical Supplies | 222 Ashville Ave Ste 10, Cary, NC 27518-6130 | 2014-07-14 |
| 1679989099 | Ceit Resources Corporation | Durable Medical Equipment & Medical Supplies | 360 Bridgegate Dr, Cary, NC 27519-7190 | 2014-07-07 |
| 1376980789 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 973 N Harrison Ave, Cary, NC 27513-3904 | 2013-05-24 |
| 1841548021 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2750 Nc 55 Hwy, Cary, NC 27519-6205 | 2012-08-21 |
| 1710232384 | Ctf Solutions, Inc | Durable Medical Equipment & Medical Supplies | 10301 Resident Cir, Cary, NC 27519-9464 | 2012-07-19 |
| Find all providers in CARY | ||||
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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.