Organization Active NPI

Foster Family Medical Equipment, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Detroit, MI
National Provider Identifier
1063421402
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4220450MedicaidMI
540H21765OtherMIBCBS DME NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930045796 MI DME Supplier - Medical Supply Company 9931228442 Practice locations: Detroit, MI

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Foster Family Medical Equipment20101 Greenfield Rd, Detroit, MI 48235-1872(313) 837-0071 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 assignmentParticipating since Jan 1, 2020

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.