Healthcare Provider Details

I. General information

NPI: 1992709307
Provider Name (Legal Business Name): CONNECTICUT SUPPORT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 EAST ST
PLAINVILLE CT
06062-3261
US

IV. Provider business mailing address

444 EAST STREET PO BOX 486
PLAINVILLE CT
06062-0486
US

V. Phone/Fax

Practice location:
  • Phone: 860-793-6843
  • Fax: 860-747-1266
Mailing address:
  • Phone: 860-793-6843
  • Fax: 860-747-1266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. CRAIG ALAN DUTCHER
Title or Position: MEMBER
Credential:
Phone: 860-793-6843