=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336452911
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DME LIVING WELL, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/23/2010
-----------------------------------------------------
Last Update Date | 08/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 362 INDUSTRIAL PARK RD STE 7
-----------------------------------------------------
City | MIDDLETOWN
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06457-1548
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-674-1601
-----------------------------------------------------
Fax | 860-785-9495
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 362 INDUSTRIAL PARK RD STE 7
-----------------------------------------------------
City | MIDDLETOWN
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06457-1548
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-674-1601
-----------------------------------------------------
Fax | 860-785-9495
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MOHAMMAD M SARAF
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 860-674-1601
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 335E00000X
-----------------------------------------------------
Taxonomy Name | Prosthetic/Orthotic Supplier
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 332BX2000X
-----------------------------------------------------
Taxonomy Name | Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------