Provider Demographics
NPI:1154475390
Name:HIGH LEVEL OXYGEN LLC
Entity Type:Organization
Organization Name:HIGH LEVEL OXYGEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:MAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-446-6114
Mailing Address - Street 1:29454 HAAS RD
Mailing Address - Street 2:
Mailing Address - City:WIXOM
Mailing Address - State:MI
Mailing Address - Zip Code:48393-3022
Mailing Address - Country:US
Mailing Address - Phone:248-446-6114
Mailing Address - Fax:
Practice Address - Street 1:29454 HAAS RD
Practice Address - Street 2:
Practice Address - City:WIXOM
Practice Address - State:MI
Practice Address - Zip Code:48393-3022
Practice Address - Country:US
Practice Address - Phone:248-446-6114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4831706Medicaid
MI5565860001Medicare NSC