OrganizationActive
Independence, LLC
NPI 1336202811 · Durable Medical Equipment & Medical Supplies · East Providence, RI
Provider details
- NPI number
- 1336202811
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Authorized official
- Todd Ackerman, President
Practice location
2224 Pawtucket Ave Unit 3
East Providence, RI 02914-1716
Phone: (401) 273-8888
Fax: (401) 273-9986
Mailing address
2224 Pawtucket Ave Unit 3
East Providence, RI 02914-1716
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2022-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.