Provider Demographics
NPI:1841207941
Name:HEALTHCARE DURABLE MEDICAL EQUIPMENTS, LLC
Entity Type:Organization
Organization Name:HEALTHCARE DURABLE MEDICAL EQUIPMENTS, LLC
Other - Org Name:HEALTHCARE DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHFAQ
Authorized Official - Middle Name:A
Authorized Official - Last Name:KADWANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-975-6668
Mailing Address - Street 1:2911 CARPENTER ROAD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108
Mailing Address - Country:US
Mailing Address - Phone:734-975-6668
Mailing Address - Fax:734-975-6678
Practice Address - Street 1:2911 CARPENTER ROAD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108
Practice Address - Country:US
Practice Address - Phone:734-975-6668
Practice Address - Fax:734-975-6678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5306003389332B00000X, 332BP3500X
335E00000X
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4755856Medicaid
1841207941OtherHAP
MI540H113470OtherBCBSM
MI4755856Medicaid