MILLBOURNE MEDICAL SUPPLY LLC
NPI 1760197610
Durable Medical Equipment & Medical Supplies in Philadelphia, PA

NPI Status: Active since January 16, 2023

Contact Information

649 FOULKROD ST UNIT 306
PHILADELPHIA, PA
ZIP 19120
Phone: (610) 553-7368

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About MILLBOURNE MEDICAL SUPPLY LLC

This page provides the complete NPI Profile along with additional information for Millbourne Medical Supply Llc, a provider established in Philadelphia, Pennsylvania operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1760197610 assigned on January 2023. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Xiaobin Li (Owner)

NPI
1760197610
Provider Name
MILLBOURNE MEDICAL SUPPLY LLC
Entity Type
Organization
Location Address
649 FOULKROD ST UNIT 306 PHILADELPHIA, PA 19120
Location Phone
(610) 553-7368
Mailing Address
649 FOULKROD ST UNIT 306 PHILADELPHIA, PA 19120
Mailing Phone
(610) 553-7368
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-16-2023
Last Update Date
01-16-2023
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Millbourne Medical Supply Llc is a medicare supplier with PTAN 20419283 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Heat & Cold Applications or Hospital Beds (Electric) or Hospital Beds (Manual) or Pneumatic Compression Devices and/or Supplies or Support Surfaces: Pressure Reducing Beds/Mats/Pads or Traction Equipment or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Canes and/or Crutches or Patient Lifts or Seat Lift Mechanisms or Walkers or Wheelchairs (Standard Manual) or Wheelchairs (Standard Manual Related Accessories) or Wheelchair Seating/Cushions or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Breast Prostheses and/or Accessories or Ostomy Supplies or Urological Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Continuous Positive Airway Pressure (CPAP) Devices or Nebulizer Equipment and/or Supplies or Respiratory Assist Devices or Surgical Dressings or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332BN1400XSuppliers

Durable Medical Equipment & Medical Supplies
Nursing Facility Supplies

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

XIAOBIN LI

Authorized Official Title
OWNER
Authorized Official Phone
(215) 813-9430

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20419283
Accepts Medicare Assignment
YES
Specialities List
Medical Supply Company Other.
Competitive Bidding
NO

Supplies List

  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Hospital Beds (Electric) - Total electric hospital beds, Semi-electric hospital beds
  • Hospital Beds (Manual) - Fixed height hospital beds, Variable height hospital beds
  • Pneumatic Compression Devices and/or Supplies - Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance
  • Support Surfaces: Pressure Reducing Beds/Mats/Pads - Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
  • Traction Equipment - Traction tables, Traction machines, Inversion tables
  • (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Patient Lifts - Ceiling lifts, Slings
  • Seat Lift Mechanisms - Lift chair
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchairs (Standard Manual Related Accessories) - Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Continuous Positive Airway Pressure (CPAP) Devices - CPAP machines, Compressor systems, Humidifiers, Masks
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Respiratory Assist Devices -
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760197610
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120291462
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 2 + 9 + 1 + 4 + 6 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1760197610 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760197610, enumerated in the NPI registry as an "organization" on January 16, 2023

The provider is located at 649 Foulkrod St Unit 306 Philadelphia, Pa 19120 and the phone number is (610) 553-7368

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

This NPI record was last updated on January 16, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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