Healthcare Provider Details

I. General information

NPI: 1568236602
Provider Name (Legal Business Name): RESIDENT SAFETY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2023
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 THOREAU RD
PLYMOUTH MA
02360-3539
US

IV. Provider business mailing address

31 HOME DEPOT DR STE 333
PLYMOUTH MA
02360-2669
US

V. Phone/Fax

Practice location:
  • Phone: 877-577-3770
  • Fax:
Mailing address:
  • Phone: 877-577-3770
  • Fax:

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 Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: GLENN MAXWELL
Title or Position: PRESIDENT
Credential:
Phone: 877-577-3770