JRSP CORPORATION (NPI# 1760480743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760480743 |
| Entity Type | Organization |
| Organization Name | JRSP CORPORATION |
| Other Organization Name | LIFELINE MEDICAL & DIABETIC SUPPLY |
| Practice Address |
1211 Gar Hwy Swansea MA 02777-4225 |
| Mailing Address |
122 Hailes Hill Rd Swansea MA 02777-3604 |
| Practice Telephone | 5086466400 |
| Mailing Telephone | 5086466400 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2011-04-05 |
| Authorized Official Name | STEPHEN MICHEAL PUSCIZNA (MANAGER OWNER) |
| Authorized Official Telephone | 5086466400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | 1092840001 | MA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 389254 | MA | Suppliers |
| N | 333600000X | Pharmacy | 3369 | MA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 1538586 | MA | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 1092840001 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1538586 | 05 | |
| MA | MASS PHARMACY LIC# | 3369 | 01 |
| MA | BCBS OF MASS PROVIDER # | 389254 | 01 |
| Other Name | Type Code |
|---|---|
| LIFELINE MEDICAL & DIABETIC SUPPLY | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | JRSP CORPORATION | 1313 N. Market St., Wilmington, DE 19801 |
| Street Address |
1211 GAR HWY |
| City | SWANSEA |
| State | MA |
| Zip Code | 02777-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676590 | West Branch Wellness, Lc | Community/Behavioral Health | 1211 Gar Hwy, Swansea, MA 02777-4225 | 2020-07-16 |
| 1154871408 | Back Into Balance, Inc | Clinic/Center | 1211 Gar Hwy, Swansea, MA 02777-4225 | 2016-10-11 |
| 1851578561 | Delores'survivor'swig&formboutique | Durable Medical Equipment & Medical Supplies | 1211 Gar Hwy, Swansea, MA 02777-4225 | 2008-01-24 |
| 1811098684 | Delores Lynch | Orthotic Fitter | 1211 Gar Hwy, Swansea, MA 02777 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003399205 | Patricia Ann Golden | Social Worker | 377 Bark St, Swansea, MA 02777 | 2018-09-13 |
| 1275933921 | Traci Rigano | Social Worker | 664 Stevens Road, Swansea, MA 02777 | 2014-08-31 |
| 1821419169 | Vivienne Kathryn Joffe | Social Worker | 453 Swansea Mall Dr., Swansea, MA 02777 | 2014-01-03 |
| 1477898047 | One Solution Homecare | Custodial Care Facility | 310 Wilbur Avenue, Suite 7, Swansea, MA 02777 | 2012-12-07 |
| 1093077976 | Samantha Stone | Student in an Organized Health Care Education/Training Program | 463 Swansea Mall Drive, Swansea, MA 02777 | 2012-06-15 |
| 1013209311 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2340 Gar Highway, Swansea, MA 02777 | 2011-05-05 |
| 1538318720 | Templer Dentistry, LLC | Dentist | 1010 G.a.r. Hyghway, Swansea, MA 02777 | 2008-09-12 |
| 1619156767 | Melanie Beth Jette | Counselor | 789 Stevens Rd., Swansea, MA 02777 | 2007-10-25 |
| 1780708206 | Francis M James | Obstetrics & Gynecology | 164 Seaview Ave, Swansea, MA 02777 | 2007-03-19 |
| 1659402899 | Mary Anne Delcupolo Dds PC | Dentist | H2 Swansea Mall, Swansea, MA 02777 | 2007-03-08 |
| Find all providers in zip 02777 | ||||
| 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 |
|---|---|---|---|---|
| 1013201656 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 579 Gar Hwy, Swansea, MA 02777-4502 | 2011-05-31 |
| 1013209311 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2340 Gar Highway, Swansea, MA 02777 | 2011-05-05 |
| 1922315480 | Premier Advance Medical Supply | Durable Medical Equipment & Medical Supplies | 445 Burns Dr, Swansea, SC 29160-8894 | 2010-09-06 |
| 1740428044 | Cardi's Department Store Inc | Durable Medical Equipment & Medical Supplies | 1 Furniture Way, Swansea, MA 02777-3424 | 2009-01-26 |
| 1639356082 | St Clair Orthopedics, Sc | Durable Medical Equipment & Medical Supplies | 33 Bronze Pointe N, Suite 100, Swansea, IL 62226-8311 | 2008-01-29 |
| 1770682056 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 510 Wilbur Avenue, Swansea, MA 02777-2147 | 2006-09-22 |
| 1932203874 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1803 N Illinois St, Swansea, IL 62226-2931 | 2006-09-12 |
| 1447362694 | Hanger Prosthetics & Orthotics East, Inc | Durable Medical Equipment & Medical Supplies | 7 Bronze Pointe S Ste A, Swansea, IL 62226-8308 | 2006-08-31 |
| 1548276025 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2532 N Illinois St, Swansea, IL 62226-2353 | 2006-08-01 |
| 1003833310 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 54 Cousinseau, Swansea, MA 02777 | 2006-07-16 |
| Find all providers in SWANSEA | ||||
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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.