STATE OF CONNECTICUT (NPI# 1790974657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790974657 |
| Entity Type | Organization |
| Organization Name | STATE OF CONNECTICUT |
| Other Organization Name | DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES |
| Practice Address |
381 Hopmeadow Street Simsbury CT 06070 |
| Mailing Address |
263 Farmington Ave Provider Enrollment - Dowling South Farmington CT 06030-2212 |
| Practice Telephone | 8606511669 |
| Practice Fax Number | 8606584961 |
| Mailing Telephone | 8606797503 |
| Mailing Fax Number | 8606791610 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2012-06-14 |
| Authorized Official Name | DENIS C LAFRENIERE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8606797503 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 035715 | CT | Suppliers |
| Other Name | Type Code |
|---|---|
| Durable Medical Equipment & Medical Supplies | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871095851 | State of Connecticut | Clinic/Center | 850 Bolton Rd Unit 1271, Storrs, CT 06269-1271 | 2018-03-06 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1205951662 | State of Connecticut | Skilled Nursing Facility | 287 West Street, Rocky Hill, CT 06067-3904 | 2007-03-21 |
| 1750459855 | State of Connecticut | Psychiatric Residential Treatment Facility | 915 River Road, Middletown, CT 06457-3921 | 2006-11-30 |
| 1427074426 | State of Connecticut | Clinic/Center | Silver Street, Dutton Home, Middletown, CT 06457 | 2006-07-14 |
| 1366477903 | State of Connecticut | Psychiatric Hospital | 525 Russell Rd, Newington, CT 06111 | 2006-07-12 |
| 1487689022 | State of Connecticut | Clinic/Center | 500 Vine Street, Hartford, CT 06112 | 2006-07-12 |
| 1841225489 | State of Connecticut | Clinic/Center | 55 West Main Street, Suite 410 Rowland State Government Center, Waterbury, CT 06702 | 2006-07-12 |
| 1225063860 | State of Connecticut | Clinic/Center | 2 Vance Drive Russell Hall, Connecticut Valley Hospital, Middletown, CT 06457 | 2006-07-12 |
| 1871524678 | State of Connecticut | Ambulance | Route 172, Dept of Mental Retardation: Southbury Training School, Southbury, CT 06488-0901 | 2006-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STATE OF CONNECTICUT DMR | 460 Capitol Ave, Hartford, CT 06106-1308 |
| Street Address |
381 HOPMEADOW STREET |
| City | SIMSBURY |
| State | CT |
| Zip Code | 06070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225450620 | Nataly Edmee Lapin | Counselor | 1243 Hopmeadow St Ste D, Simsbury, CT 06070 | 2014-01-20 |
| 1689950545 | Mary Beth Walsh | Pharmacist | 540 Bushy Hill Road, Simsbury, CT 06070 | 2011-10-24 |
| 1437335700 | Lisa Hope Cooperman | Dietitian, Registered | 8 Wilcox St, Simsbury, CT 06070 | 2008-01-16 |
| 1104025378 | Michelle-lisa Weller Voegtle | Counselor | 2 Westridge Drive, Simsbury, CT 06070 | 2007-07-17 |
| 1285851287 | Richard Connolly-walker | Chiropractor | 530 Bushy Hill Road, Suite 200, Simsbury, CT 06070 | 2007-04-19 |
| 1801012943 | Eastern Rehabilitation Network | Physical Therapist | 200 Hopmeadow Street, Eastern Rehabilitation Network, Simsbury, CT 06070 | 2007-04-17 |
| 1104049956 | Philip Emil Pilon | Dentist | 625 Hopmeadow Street, Simsbury, CT 06070 | 2007-04-10 |
| 1215054929 | Valley Psychiatry LLC | Nurse Practitioner | 542 Hopmeadow St, Simsbury, CT 06070 | 2007-03-26 |
| 1225162522 | Anthony J Zukowski | Physical Therapist | 923 Hopmeadow Street, Simsbury, CT 06070 | 2007-03-16 |
| 1821128562 | Simsbury Volunteer Ambulance Association, Inc | Ambulance | 4 Old Mill Lane, Simsbury, CT 06070 | 2007-03-06 |
| Find all providers in zip 06070 | ||||
| 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 |
|---|---|---|---|---|
| 1275812752 | Home Handyman, LLC | Durable Medical Equipment & Medical Supplies | 524 Hopmeadow St, Unit 5, Simsbury, CT 06070-2491 | 2011-08-15 |
| 1386749125 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 714 Hopmeadow St Simsbury Plz, Simsbury, CT 06070 | 2006-09-14 |
| 1568477818 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 540 Bushy Hill Rd, Simsbury, CT 06070-2925 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
| 1801405485 | Hanger Medical | Durable Medical Equipment & Medical Supplies | 100 Retreat Ave Ste 800, Hartford, CT 06106-2528 | 2020-07-29 |
| 1184232985 | Dragon Medical Equipment Corp | Durable Medical Equipment & Medical Supplies | 12 Goose Ln Unit J, Tolland, CT 06084-3400 | 2020-07-17 |
| 1083232300 | Stephen Brody | Durable Medical Equipment & Medical Supplies | 127 Franklin St, Waterbury, CT 06706-1233 | 2020-07-13 |
| 1679191225 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 705 Bridgeport Ave, Shelton, CT 06484-4704 | 2020-07-10 |
| 1164044244 | Cabea, LLC | Durable Medical Equipment & Medical Supplies | 210 Holabird Ave # 204, Winsted, CT 06098-1747 | 2020-05-12 |
| 1447870472 | Jorani Raw Hair | Durable Medical Equipment & Medical Supplies | 100 Wolfpit Ave Apt 1, Norwalk, CT 06851-3438 | 2020-04-20 |
| 1083233779 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 331 Wethersfield Ave Rm 149, Hartford, CT 06114-1420 | 2020-04-13 |
| 1821625088 | Sterling Medical LLC | Durable Medical Equipment & Medical Supplies | 272 Hyland Ter, Orange, CT 06477-1107 | 2020-03-26 |
| 1215564646 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1245 Dixwell Ave, Hamden, CT 06514-4132 | 2020-03-25 |
| Find all providers with the same taxonomy | ||||
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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.