Provider Demographics
NPI:1477737971
Name:SINCERE HEARTS MEDICAL EQUIPMENT & SUPPLIES INC.
Entity Type:Organization
Organization Name:SINCERE HEARTS MEDICAL EQUIPMENT & SUPPLIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAFIQ
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-977-5667
Mailing Address - Street 1:4405 S. BALDWIN ROAD
Mailing Address - Street 2:SUITE C
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48359-2164
Mailing Address - Country:US
Mailing Address - Phone:248-977-5667
Mailing Address - Fax:248-977-5659
Practice Address - Street 1:4405 S. BALDWIN ROAD
Practice Address - Street 2:SUITE C
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48359-2164
Practice Address - Country:US
Practice Address - Phone:248-977-5667
Practice Address - Fax:248-977-5659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6051670002Medicare NSC