Healthcare Provider Details

I. General information

NPI: 1780959940
Provider Name (Legal Business Name): PROCAIRE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 11/03/2020
Certification Date: 11/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 COMMERCE BLVD STE 5
PLAINVILLE MA
02762-1544
US

IV. Provider business mailing address

PO BOX 801
TOLLAND CT
06084-0801
US

V. Phone/Fax

Practice location:
  • Phone: 888-616-8421
  • Fax:
Mailing address:
  • Phone: 888-616-8421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateCT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. NATASHA BRIELMANN
Title or Position: GENERAL MANAGER
Credential:
Phone: 860-643-5126