Provider Demographics
NPI:1023688231
Name:GREATER COMFORT DME LLC
Entity type:Organization
Organization Name:GREATER COMFORT DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:AMARJI
Authorized Official - Middle Name:
Authorized Official - Last Name:GHUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-973-7625
Mailing Address - Street 1:8500 LEESURG PIKE STE 500
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182
Mailing Address - Country:US
Mailing Address - Phone:248-973-7625
Mailing Address - Fax:248-487-9625
Practice Address - Street 1:29226 ORCHARD LAKE RD STE 160
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2990
Practice Address - Country:US
Practice Address - Phone:248-973-7625
Practice Address - Fax:248-487-9626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-29
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies