Provider Demographics
NPI:1811284300
Name:SUBURBAN HOME MEDICAL, INC.
Entity type:Organization
Organization Name:SUBURBAN HOME MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:CZAPIGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-236-0755
Mailing Address - Street 1:141 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06110-1963
Mailing Address - Country:US
Mailing Address - Phone:860-236-0755
Mailing Address - Fax:860-760-6777
Practice Address - Street 1:35 TALCOTTVILLE RD
Practice Address - Street 2:SUITE 19
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-5275
Practice Address - Country:US
Practice Address - Phone:860-236-0755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-05
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier