Healthcare Provider Details

I. General information

NPI: 1972537058
Provider Name (Legal Business Name): MIDDLESEX HOME CARE & SUPPLIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 10/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 WEST ST BLDG 1 SUITE K
CROMWELL CT
06416
US

IV. Provider business mailing address

PO BOX 375
MIDDLETOWN CT
06457-0375
US

V. Phone/Fax

Practice location:
  • Phone: 860-632-0393
  • Fax: 860-346-9096
Mailing address:
  • Phone: 860-632-0393
  • Fax: 860-346-9096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK ANDREW DRUMMOND
Title or Position: OWNER PRESIDENT
Credential: MS RPFT
Phone: 860-632-0393