Randys Mom LLC
Durable Medical Equipment & Medical Supplies in Cary, NC. Organization (NPI-2).
Details
- NPI
- 1477922011
- Entity type
- Organization (NPI-2)
- Legal business name
- Randys Mom LLC
- Organization subpart
- No
- Enumeration date
- Sep 24, 2015
- Last updated
- Sep 24, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 332BP3500X | Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | – | – |
Practice location
515 Keisler Dr Ste 102Cary, NC 27518-7097
Phone 919-757-6844 · Fax 919-230-2510
Mailing address
515 Keisler Dr Ste 102Cary, NC 27518-7097
Phone 919-757-6844 · Fax 919-230-2510
Authorized official
Julia Simmons
Owner
9197576844
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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