MEDICARE: CONNECTICUT SUPPORT SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332BX2000X	Oxygen Equipment & Supplies (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	332BC3200X	Customized Equipment (DME)
4	332BN1400X	Nursing Facility Supplies (DME)
5	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12DME0553CT01	OTHER	CT	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1992709307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONNECTICUT SUPPORT SERVICES, LLC

Provider Business Mailing Address
First Line	:	444 EAST STREET
Second Line	:	PO BOX 486
City	:	PLAINVILLE
State	:	CT
Zip	:	06062-0486
Country	:	US
Telephone Number	:	860-793-6843
Fax Number	:	860-747-1266

Provider Business Practice Location Address
First Line	:	444 EAST ST
Second Line	:
City	:	PLAINVILLE
State	:	CT
Zip	:	06062-3261
Country	:	US
Telephone Number	:	860-793-6843
Fax Number	:	860-747-1266

Authorized Official
Title or Position	:	MEMBER
Name	:	MR. CRAIG ALAN DUTCHER
Credential	:
Telephone Number	:	860-793-6843

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	09/11/2025

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Directions to “CONNECTICUT SUPPORT SERVICES, LLC ” Practice Location

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