Active NPI
High Level Oxygen LLC
- Durable Medical Equipment & Medical Supplies
- Wixom, MI
National Provider Identifier
1154475390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HIGH LEVEL OXYGEN LLC
- Practice address
- 29454 Haas Rd
Wixom, MI 48393-3022 - Phone
- (248) 446-6114
- NPI assigned
- Jan 23, 2007
- Last updated
- Feb 28, 2008
- 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
- Robert J Mayer
- Title
- Co-Owner
- Phone
- (248) 446-6114
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
29454 Haas Rd
Wixom, MI 48393-3022
Mailing address
29454 Haas Rd
Wixom, MI 48393-3022
Phone (248) 446-6114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4831706 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204156800000",
"number": "1154475390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29454 HAAS RD",
"city": "WIXOM",
"state": "MI",
"postal_code": "483933022",
"telephone_number": "248-446-6114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29454 HAAS RD",
"city": "WIXOM",
"state": "MI",
"postal_code": "483933022",
"telephone_number": "248-446-6114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGH LEVEL OXYGEN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2008-02-28",
"status": "A",
"authorized_official_last_name": "MAYER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "248-446-6114"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4831706",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wixom, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.