Active NPIOrganization

Ellsworth Medical, LLC

Durable Medical Equipment & Medical Supplies in East Granby, Connecticut

NPI Number1730199852
Practice location
15 S Main Street Suite B, East Granby, CT 06026-9550
Fax
860-431-4058
Last updated
November 3, 2026

Ellsworth Medical, LLC is a healthcare organization based in East Granby, CT. Ellsworth Medical, LLC practices in East Granby, CT. The NPI Number for Ellsworth Medical, LLC is 1730199852. The current practice location address for Ellsworth Medical, LLC is 15 S Main Street Suite B, East Granby, CT 06026-9550 and can be reached out via phone at 860-431-4048 and via fax at 860-431-4058.

Provider Profile Details

NPI Number
1730199852
Provider Name
Ellsworth Medical, LLC
Provider Entity Type
Organization
Address
15 S Main Street Suite B, East Granby, CT 06026-9550
Phone Number
860-431-4048
Fax Number
860-431-4058
Primary Taxonomy
Durable Medical Equipment & Medical Supplies · 332B00000X
Organization Subpart
No
Authorized Official
Mr. Brian Allan Cosker · Owner/President · 860-431-4048
Other Names
Ellsmed (Doing Business As)
Provider Enumeration Date
August 9, 2006
Last Update Date
November 3, 2026
Certification Date
July 14, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 S Main Street Suite B
East Granby, CT 06026-9550
Zip
06026-9550
Phone Number
860-431-4048
Fax Number
860-431-4058
East Granby, CT 06026Get directions →

Provider Business Mailing Address Details

Address
15 South Main St Suite B
East Granby, CT 06026-9550
City
East Granby
State
CT
Zip
06026-9550
Phone Number
860-431-4048
Fax Number
860-431-4058

License Information

Taxonomy
Durable Medical Equipment & Medical Supplies · 332B00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ellsworth Medical, LLC?

The NPI number of Ellsworth Medical, LLC is 1730199852. It was assigned on August 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Ellsworth Medical, LLC?

Ellsworth Medical, LLC is registered under the primary taxonomy Durable Medical Equipment & Medical Supplies (code 332B00000X).

Where does Ellsworth Medical, LLC practice?

The practice location is 15 S Main Street Suite B, East Granby, CT 06026-9550. The office can be reached at 860-431-4048 (phone) or 860-431-4058 (fax).

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 1730199852 directly on the NPPES registry website.

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