Organization
ADVANTAGE HOME MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEODORE L HUDON RRT (MEMBER)
(860) 963-1208
Entity
Organization
Contact information
Practice address
213 POMFRET ST, PUTNAM, CT 06260-1835
(860) 963-1208
(860) 963-1209
Mailing address
PO BOX 474, PUTNAM, CT 06260-0474
(860) 963-1208
(860) 963-1209
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
CSW0001408
CT
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
CSW0001408
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004228179
—
CT
01
—
12DME0789CT02
ANTHEM
CT
01
—
A2898055
OXFORD HEALTH PLAN
CT
01
—
CV7876
HEALTHNET
CT
Enumeration date
07/14/2006
Last updated
08/29/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us