Provider Demographics
NPI:1669669552
Name:SAB HOME MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:SAB HOME MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SABIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-746-8310
Mailing Address - Street 1:30050 HOOVER RD
Mailing Address - Street 2:STE G
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-2544
Mailing Address - Country:US
Mailing Address - Phone:586-576-0443
Mailing Address - Fax:586-576-0778
Practice Address - Street 1:30050 HOOVER RD
Practice Address - Street 2:STE G
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-2544
Practice Address - Country:US
Practice Address - Phone:586-576-0443
Practice Address - Fax:586-576-0778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6028670001Medicare NSC