Provider Demographics
NPI:1407953623
Name:DENMARKS, LLC
Entity Type:Organization
Organization Name:DENMARKS, LLC
Other - Org Name:VANGUARD HOME MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:LOREE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON-IAROCCI
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:855-914-9140
Mailing Address - Street 1:1 BRADFORD RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10553-1260
Mailing Address - Country:US
Mailing Address - Phone:800-631-3031
Mailing Address - Fax:914-840-1360
Practice Address - Street 1:155 JEFFERSON BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-3878
Practice Address - Country:US
Practice Address - Phone:800-696-3000
Practice Address - Fax:401-468-1333
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LANDAUER METROPOLITAN, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-20
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIDI00666Medicaid
0411430010Medicare NSC
RIDI00666Medicaid