SHORELINE MEDICAL SUPPLY, LLC (NPI# 1386823573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386823573 |
| Entity Type | Organization |
| Organization Name | SHORELINE MEDICAL SUPPLY, LLC |
| Practice Address |
27 Fair Harbour Pl New London CT 06320-4710 |
| Practice Telephone | 8604378800 |
| Practice Fax Number | 8604479930 |
| Mailing Telephone | 8604378800 |
| Mailing Fax Number | 8604479930 |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |
| Authorized Official Name | DARREN JAY COURTRIGHT (PRESIDENT) |
| Authorized Official Telephone | 8604378800 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 41109232001 | CT | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | SHORELINE MEDICAL SUPPLY, LLC | 341 Montauk Ave, New London, CT 06320 |
| Street Address |
27 FAIR HARBOUR PL |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245522085 | Donnelly Orthotic and Prosthetic Systems LLC | Prosthetic/Orthotic Supplier | 27 Fair Harbour Pl, New London, CT 06320-4710 | 2011-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| 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 |
|---|---|---|---|---|
| 1013565928 | Reliable Respiratory, Inc. | Durable Medical Equipment & Medical Supplies | 400 Bayonet St Ste 100, New London, CT 06320-2600 | 2019-09-04 |
| 1538344932 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 698 Bank St, New London, CT 06320-5040 | 2008-01-03 |
| 1548469729 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 21 Montauk Ave Ste 102, New London, CT 06320-4906 | 2007-07-17 |
| 1184836926 | Leonard Gary Fish | Durable Medical Equipment & Medical Supplies | 3 Colonial Place, New London, NH 03257 | 2007-05-04 |
| 1275754566 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 237 Jefferson Ave., New London, CT 06320 | 2007-05-02 |
| 1891869947 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 2 Shaws Cv Ste 100, New London, CT 06320-4975 | 2006-11-20 |
| 1699879593 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 817 Bank St, New London, CT 06320-3503 | 2006-09-12 |
| 1154332641 | Mgfn Corp | Durable Medical Equipment & Medical Supplies | 613 Broad St, New London, CT 06320-2544 | 2006-08-10 |
| 1720005879 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1717 N Shawano St, New London, WI 54961-9365 | 2006-07-16 |
| 1467493841 | New England Orthotic & Prosthetic Systems, LLC | Durable Medical Equipment & Medical Supplies | 400 Bayonet Street, Suite 101, New London, CT 06320-2600 | 2006-06-09 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
Please comment or provide details below to improve the information on SHORELINE MEDICAL SUPPLY, 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.