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101 DIABETIC SUPPLIES, LLC
NPI 1003101296
Durable Medical Equipment & Medical Supplies in Titusville, FL

Active since June 15, 2011
1400 WHITE DR STE B, TITUSVILLE, FL 32780(321) 676-8989 Get Directions Write a Review

NPPES record last updated: August 23, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 101 Diabetic Supplies, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

101 DIABETIC SUPPLIES, LLC (NPI 1003101296), doing business as Jade Diabetic Group, is a healthcare organization registered as a durable medical equipment & medical supplies in Titusville, Florida and active in the NPI registry since June 2011. The organization lists Dale Greyslak, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1003101296
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business Name101 DIABETIC SUPPLIES, LLC
Location Address1400 WHITE DR STE BTitusville, FL 32780-9657
Mailing Address1400 White Dr Ste BTitusville, FL 32780-9657 · (321) 676-8989
Phone(321) 676-8989
Organization SubpartNo
Authorized OfficialDale GreyslakManaging Member · (321) 267-7576
Enumeration DateJune 15, 2011
Last NPPES UpdateAugust 23, 2013
✔ NPI 1003101296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
1400 WHITE DR STE B, Titusville, FL 32780
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Other Names 1

Former Legal Business NameJade Diabetic Group

Other Identifiers 1

Medicare NSC6625800001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 101 Diabetic Supplies, LLC's NPI number?

The NPI number for 101 Diabetic Supplies, LLC is 1003101296. It was assigned to this organization in the NPPES registry on June 15, 2011. The provider was formerly known as Jade Diabetic Group.

Where is 101 Diabetic Supplies, LLC located?

101 Diabetic Supplies, LLC is located at 1400 White Dr Ste B, Titusville, FL 32780. The listed phone number is (321) 676-8989.

What is 101 Diabetic Supplies, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for 101 Diabetic Supplies, LLC was last updated on August 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.