LATARSHA WILLIAMS


Address: 84 Welles Ave, Dorchester, MA 02124-2444
Phone: 6174368400

LATARSHA WILLIAMS (NPI# 1154837227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154837227
Entity Type Individual
Full Name LATARSHA WILLIAMS
Practice Address 84 Welles Ave
Dorchester
MA 02124-2444
Mailing Address 337 Adams St
Dorchester
MA 02122-1232
Practice Telephone 6174368400
Mailing Telephone 6174368400
Enumeration Date 2017-12-27
Last Update Date 2018-06-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
58895 MA Suppliers
N 332BP3500X Durable Medical Equipment & Medical Supplies
Specialization: Parenteral & Enteral Nutrition
58895 MA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MA MA STATE COCOSMETOLOGY LICENSE NUMBER 58895 01

Office Location

Street Address 84 WELLES AVE
City DORCHESTER
State MA
Zip Code 02124-2444

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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1417443441 Luis Guzman Durable Medical Equipment & Medical Supplies 29 Rolfe Square, Cranston, MA 02910 2018-07-02
1023445905 Able My Home LLC Durable Medical Equipment & Medical Supplies 82 Hurd Ave, Saugus, MA 01906-2650 2013-10-08
1588905582 United Seating and Mobility LLC Durable Medical Equipment & Medical Supplies 712 Plantation St, Worcester, MA 01605-2041 2013-03-15
1619225943 Keen Mobility Company Durable Medical Equipment & Medical Supplies 271 Salem St, Unit C&d, Woburn, MA 01801-2004 2012-08-16
1114224672 Make It Easy Medical Devices Durable Medical Equipment & Medical Supplies 410 Woburn Street, Tewksbury, Tewksbury, MA 01876 2011-02-18
1649400466 Alden Lock & Security, Inc Durable Medical Equipment & Medical Supplies 1053 Belmont St, Watertown, MA 02472-1022 2009-07-15
1972746121 Well Home Care, Inc. Durable Medical Equipment & Medical Supplies 1654 Massachusetts Ave, Apt 37, Cambridge, MA 02138-2725 2009-04-16
1245476381 United Medical Systems (de), Inc. Durable Medical Equipment & Medical Supplies 1500 West Park Dr, Suite 390, Westborough, MA 01581 2008-12-19
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Competitor

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City DORCHESTER
Zip Code 02124

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Dataset Information

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.

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