SUPERMOMMY'S SUPERSTORE
NPI 1639305709
Durable Medical Equipment & Medical Supplies in Elizabethtown, KY

Active since June 03, 2009
2411 RING RD, SUITE 105, ELIZABETHTOWN, KY 42701(270) 769-6693(270) 769-0911 Get Directions Write a Review

NPPES record last updated: June 3, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Supermommy's Superstore NPPES

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

SUPERMOMMY'S SUPERSTORE (NPI 1639305709) is a healthcare organization registered as a durable medical equipment & medical supplies in Elizabethtown, Kentucky and active in the NPI registry since June 2009. The organization lists Regina Rae Hagan, Owner, as its authorized official.

NPPES Registry Identity

NPI1639305709
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSUPERMOMMY'S SUPERSTORE, LLC
Location Address2411 RING RD, SUITE 105Elizabethtown, KY 42701-5929
Mailing AddressPo Box 268Rineyville, KY 40162-0268 · (270) 769-6693 · Fax (270) 769-0911
Fax(270) 769-0911
Organization SubpartNo
Authorized OfficialRegina Rae HaganOwner · (270) 769-6693
Enumeration DateJune 3, 2009
NPI 1639305709 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.

2411 RING RD, Elizabethtown, KY 42701

Other Names 1

Doing Business AsSupermommy's Superstore

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2411 RING RD, SUITE 114
ELIZABETHTOWN, KY 42701
Case Management
2411 RING RD, SUITE 102
ELIZABETHTOWN, KY 42701

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 Supermommy's Superstore, LLC's NPI number?

The NPI number for Supermommy's Superstore, LLC is 1639305709. It was assigned to this organization in the NPPES registry on June 3, 2009. The provider is doing business as Supermommy's Superstore.

Where is Supermommy's Superstore, LLC located?

Supermommy's Superstore, LLC is located at 2411 Ring Rd Suite 105, Elizabethtown, KY 42701. The listed phone number is (270) 769-6693.

What is Supermommy's Superstore, 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 Supermommy's Superstore, LLC was last updated on June 3, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.