Supplies Plus Mi II LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SUPPLIES PLUS MI II LLC

Practice address

24901 Northwestern Hwy Ste 315
Southfield, MI 48075-2207

Phone

(877) 401-1440

Fax

(727) 821-8913

NPI assigned

Jan 25, 2023

Organization subpart

No

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

Authorized official

Name

Candice Kayal

Title

Operations Manager

Phone

(734) 536-8434

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1154037034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772816",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772816",
            "telephone_number": "877-401-1440",
            "fax_number": "727-821-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24901 NORTHWESTERN HWY STE 315",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752207",
            "telephone_number": "877-401-1440",
            "fax_number": "727-821-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLIES PLUS MI II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "KAYAL",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "734-536-8434"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Southfield, MI
• Providers in Southfield, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.