OrganizationActive
Medical Supply Dme LLC
NPI 1578020004 · Durable Medical Equipment & Medical Supplies · Montgomery, AL
Provider details
- NPI number
- 1578020004
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Etta Starks, Owner(470) 865-2445
Specialties & taxonomies
Suppliers
- Customized Equipment (DME)332BC3200X
Suppliers
- Nursing Facility Supplies (DME)332BN1400X
Suppliers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2400 Promenade Blvd Apt 2
Montgomery, AL 36106-4001
Phone: (470) 865-2445
Street-level locationGet directions
Mailing address
2400 Promenade Blvd Apt 2
Montgomery, AL 36106-4001
Registry dates
- Enumerated
- 2019-02-20
- Last updated
- 2019-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.