Provider Demographics
NPI:1730334939
Name:UNIVERSAL HOME MEDICAL EQUIPMENT AND SUPPLIES LLC
Entity type:Organization
Organization Name:UNIVERSAL HOME MEDICAL EQUIPMENT AND SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:NUMAN
Authorized Official - Last Name:ALAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-225-6900
Mailing Address - Street 1:29200 VASSAR ST
Mailing Address - Street 2:SUITE 530
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-2192
Mailing Address - Country:US
Mailing Address - Phone:734-225-6900
Mailing Address - Fax:734-225-6966
Practice Address - Street 1:29200 VASSAR ST
Practice Address - Street 2:SUITE 530
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-2192
Practice Address - Country:US
Practice Address - Phone:734-225-6900
Practice Address - Fax:734-225-6966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-02
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5306004161332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6849110001Medicare NSC