Favor Medical Supplies & Transportation Services Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FAVOR MEDICAL SUPPLIES & TRANSPORTATION SERVICES INC

Practice address

425 Joliet St
Dyer, IN 46311-1765

Phone

(773) 430-8455

NPI assigned

Aug 2, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Ebom

Title

President

Phone

(773) 430-8455

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1114470515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 JOLIET ST",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 JOLIET ST",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111765",
            "telephone_number": "773-430-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAVOR MEDICAL SUPPLIES & TRANSPORTATION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "EBOM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-430-8455"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Fairris, MA CCC SLP
• Fatima Jaffer MD SC PC
• Maher Fattouh, MD
• Ashley Elizabeth Faucault, COTA
• Favor Healthcare Services, Inc.
• Katrina Fesko, O.D.
• Madison Kay Fisher, PTA
• Flourish Health Group in LLC
• Fortress Healthcare Services Inc
• Marissa Foster

• Durable Medical Equipment & Medical Supplies in Dyer, IN
• Providers in Dyer, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.