=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972649879
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALERT RESPONSE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/29/2007
-----------------------------------------------------
Last Update Date | 03/04/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1400 MOCCASSIN TRL STE 11
-----------------------------------------------------
City | LEWISVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75077-9101
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-318-0161
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 292894
-----------------------------------------------------
City | LEWISVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75029-2894
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-318-0161
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | SPAULDING NEWTON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 972-318-0161
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | PP0102
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------