VANGUARD MEDICAL LLC (NPI# 1992270599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992270599 |
| Entity Type | Organization |
| Organization Name | VANGUARD MEDICAL LLC |
| Practice Address |
24 Sodom Ln Ste 1 Derby CT 06418-2608 |
| Practice Telephone | 8608086532 |
| Mailing Telephone | 8608086532 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | IVAN NUSSBERG (OWNER) |
| Authorized Official Telephone | 8608086532 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VANGUARD MEDICAL LLC | 9603 Bonair Dr, Manassas, VA 20109-3325 |
| Connecticut Business Registrations | Vanguard Medical LLC | 224 Beardsley Rd, Shelton, CT 06484 |
| Street Address |
24 SODOM LN STE 1 |
| City | DERBY |
| State | CT |
| Zip Code | 06418-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839105 | Fnu Prinkiya | Student in an Organized Health Care Education/Training Program | Griffin Hospital. 130 Division St, Derby, CT 06418 | 2020-04-08 |
| 1942837935 | Ivanshi A Gondalia | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St, Derby, CT 06418 | 2020-03-27 |
| 1972168094 | Pir Saad | Student in an Organized Health Care Education/Training Program | C/o Margie Bliga, Department of Medical Education, Griffin Hospital, 130 Division St, Derby, CT 06418 | 2019-05-03 |
| 1295398899 | Ahtsham Yousaf Chaudhary | Student in an Organized Health Care Education/Training Program | 130 Division St, Griffin Hospital, Derby, CT 06418 | 2019-04-18 |
| 1477016376 | Rabia Usman | Student in an Organized Health Care Education/Training Program | 130 Division St. Griffin Hospital, Derby, CT 06418 | 2019-04-09 |
| 1932661428 | Meshal Qaiser | Student in an Organized Health Care Education/Training Program | 130 Division Street Griffin Hospital, Derby, CT 06418 | 2019-04-03 |
| 1275027666 | Victoria Anne Hodge Enquist | Social Worker | 241 Seymour Avenue, Griffin Hospital Iop, Seymour, CT 06418 | 2018-06-19 |
| 1811485758 | Nimeshayan Varatharajah | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St., Derby, CT 06418 | 2018-04-26 |
| 1851889836 | Pete Prashamsa Shenoy | Student in an Organized Health Care Education/Training Program | Griffin Hospital (dpt of Graduate Medical Education), 130 Division St., Derby, CT 06418 | 2018-04-25 |
| 1639696594 | Samantha Leigh Bassett | Counselor | 90 Sodom Lane, Derby, CT 06418 | 2017-08-23 |
| Find all providers in zip 06418 | ||||
| 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 |
|---|---|---|---|---|
| 1376183533 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 181 Crawford Rd Rm 130, Derby, VT 05855-6405 | 2020-01-15 |
| 1326591009 | Liberty Rehab, LLC | Durable Medical Equipment & Medical Supplies | 49 Pershing Dr Ste 10, Derby, CT 06418-1406 | 2016-07-28 |
| 1285042747 | Vermont Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4730 Us Route 5, Derby, VT 05855-9480 | 2014-07-29 |
| 1619313129 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1106 S Rock Rd, Derby, KS 67037-3989 | 2013-05-13 |
| 1386961688 | Mid-america Orthopedics LLC | Durable Medical Equipment & Medical Supplies | 1824 E James St, Derby, KS 67037-8634 | 2010-04-26 |
| 1992953996 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2024 N Rock Rd, Derby, KS 67037-3752 | 2008-09-03 |
| 1598866899 | M&s Eyecare | Durable Medical Equipment & Medical Supplies | 552 New Haven Ave, Derby, CT 06418-2538 | 2006-09-26 |
| 1255430518 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 6939 Erie Road, Derby, NY 14047-9406 | 2006-09-22 |
| 1659476497 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 656 New Haven Ave Caldor Sc, Derby, CT 06418 | 2006-09-14 |
| 1275550667 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2020 N Nelson Dr, Derby, KS 67037-2572 | 2006-07-16 |
| Find all providers in DERBY | ||||
Please comment or provide details below to improve the information on VANGUARD MEDICAL LLC.
| 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.