Provider Demographics
NPI:1578253712
Name:ENSURE MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:ENSURE MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NALSON
Authorized Official - Middle Name:
Authorized Official - Last Name:SARFRAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-686-1595
Mailing Address - Street 1:2301 WOODWARD ST APT J17
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-5155
Mailing Address - Country:US
Mailing Address - Phone:267-686-1595
Mailing Address - Fax:
Practice Address - Street 1:2301 WOODWARD ST APT J17
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-5155
Practice Address - Country:US
Practice Address - Phone:267-686-1595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies