Provider Demographics
NPI:1194307090
Name:HEALTHROM, INC
Entity type:Organization
Organization Name:HEALTHROM, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEARBORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-374-0855
Mailing Address - Street 1:101 SILVERMINE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-2047
Mailing Address - Country:US
Mailing Address - Phone:888-374-0855
Mailing Address - Fax:
Practice Address - Street 1:101 SILVERMINE RD, STE 200
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-2047
Practice Address - Country:US
Practice Address - Phone:203-663-3706
Practice Address - Fax:203-663-3706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTCSW.0004910OtherSTATE LICENSE