Active NPI
Foster Family Medical Equipment, Inc.
- Durable Medical Equipment & Medical Supplies
- Detroit, MI
National Provider Identifier
1063421402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- FOSTER FAMILY MEDICAL EQUIPMENT, INC.
- Practice address
- 20101 Greenfield Rd
Detroit, MI 48235 - Phone
- (313) 837-0071
- Fax
- (313) 837-3323
- NPI assigned
- Aug 5, 2006
- Last updated
- Nov 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Wanda Moore
- Title
- President/Ceo
- Phone
- (313) 837-0071
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
20101 Greenfield Rd
Detroit, MI 48235
Mailing address
PO Box 19244
Detroit, MI 48219
Phone (313) 837-0071
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4220450 | Medicaid | MI | |
| 540H21765 | Other | MI | BCBS DME NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930045796 | MI | DME Supplier - Medical Supply Company | 9931228442 | Practice locations: Detroit, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Foster Family Medical Equipment | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators an… | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
20101 Greenfield Rd
Detroit, MI 48235
Phone (313) 837-0071
19350 James Couzens Fwy
Detroit, MI 48235
Phone (313) 837-0071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698969600000",
"number": "1063421402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19244",
"city": "DETROIT",
"state": "MI",
"postal_code": "48219",
"telephone_number": "313-837-0071",
"fax_number": "313-837-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20101 GREENFIELD RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "48235",
"telephone_number": "313-837-0071",
"fax_number": "313-837-3323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOSTER FAMILY MEDICAL EQUIPMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2023-11-03",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "WANDA",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "313-837-0071",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4220450",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DME NUMBER",
"identifier": "540H21765",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.