Healthcare Provider Details

I. General information

NPI: 1144091018
Provider Name (Legal Business Name): SYNAPSE HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2024
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 GRACE DR STE A
EASLEY SC
29640-9088
US

IV. Provider business mailing address

3755 CHASE AVE
SKOKIE IL
60076-4008
US

V. Phone/Fax

Practice location:
  • Phone: 888-336-9363
  • Fax:
Mailing address:
  • Phone: 888-336-9363
  • 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 Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDREW PERL
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 847-737-4455