Provider Demographics
NPI:1184033060
Name:TOTAL ACCESS, LLC
Entity Type:Organization
Organization Name:TOTAL ACCESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:SWENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-261-5678
Mailing Address - Street 1:1469 FARMINGTON AVE.
Mailing Address - Street 2:SUITE 52
Mailing Address - City:BRISTOL
Mailing Address - State:CT
Mailing Address - Zip Code:06010-4771
Mailing Address - Country:US
Mailing Address - Phone:860-261-5678
Mailing Address - Fax:860-506-4930
Practice Address - Street 1:60 JACKSON DR
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-1424
Practice Address - Country:US
Practice Address - Phone:860-261-5678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1038482332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies