Grimetime LLC
Prevention Professional in Wauregan, Connecticut
1386472520- Practice location
- 72 S Chestnut St, Wauregan, CT 06387-8708
- Phone
- 978-332-3401
- Fax
- —
- Last updated
- July 22, 2024
Grimetime LLC is a healthcare organization based in Wauregan, CT. Grimetime LLC practices in Wauregan, CT. The NPI Number for Grimetime LLC is 1386472520. The current practice location address for Grimetime LLC is 72 S Chestnut St, Wauregan, CT 06387-8708 and can be reached out via phone at 978-332-3401.
Provider Profile Details
- NPI Number
- 1386472520
- Provider Name
- Grimetime LLC
- Provider Entity Type
- Organization
- Address
- 72 S Chestnut St, Wauregan, CT 06387-8708
- Phone Number
- 978-332-3401
- Primary Taxonomy
- Prevention Professional · 405300000X
- Organization Subpart
- No
- Authorized Official
- Mustapha Mboob, M · Management · 978-332-3401
- Provider Enumeration Date
- July 22, 2024
- Last Update Date
- July 22, 2024
- Certification Date
- July 21, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 72 S Chestnut St
Wauregan, CT 06387-8708 - City
- Wauregan
- State
- Connecticut
- Zip
- 06387-8708
- Phone Number
- 978-332-3401
Provider Business Mailing Address Details
- Address
- Po Box 35
Wauregan, CT 06387-0035 - City
- Wauregan
- State
- CT
- Zip
- 06387-0035
- Phone Number
- 860-897-4438
License Information
- Taxonomy
- Prevention Professional · 405300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Grimetime LLC?
The NPI number of Grimetime LLC is 1386472520. It was assigned on July 22, 2024 and is currently active in the NPPES registry.
What is the specialty of Grimetime LLC?
Grimetime LLC is registered under the primary taxonomy Prevention Professional (code 405300000X).
Where does Grimetime LLC practice?
The practice location is 72 S Chestnut St, Wauregan, CT 06387-8708. The office can be reached at 978-332-3401 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386472520 directly on the NPPES registry website.