GROVER MED LLC; NPI #1649807454

Contact Information

GROVER MED LLC

100 NEWBRIDGE RD STE 6
HICKSVILLE, NY 11801-3948

Phone: 516-882-7473
Fax: 516-530-9478
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Prosthetic/Orthotic Supplier	335E00000X	51	Medical Supply Company with Orthotist
Assistive Technology Supplier	225CA2500X
Customized Equipment	332BC3200X	87	All Other Suppliers
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company
Vehicle Modifications	171WV0202X

Indicates primary specialty

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NPI Profile & details for GROVER MED LLC

NPI # 1649807454

LBN Legal business name GROVER MED LLC

Authorized official RAVI GROVER - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/24/2020

Last updated 04/03/2023 - About 3 years ago

Identifiers

NY	Medicaid	06211930
NY	Other	1134772320	CMS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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