Provider Demographics
NPI:1780959940
Name:PROCAIRE, LLC
Entity type:Organization
Organization Name:PROCAIRE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIELMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-643-5126
Mailing Address - Street 1:PO BOX 801
Mailing Address - Street 2:
Mailing Address - City:TOLLAND
Mailing Address - State:CT
Mailing Address - Zip Code:06084-0801
Mailing Address - Country:US
Mailing Address - Phone:888-616-8421
Mailing Address - Fax:
Practice Address - Street 1:22 COMMERCE BLVD STE 5
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-1544
Practice Address - Country:US
Practice Address - Phone:888-616-8421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-20
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies