Grandiff Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

R2253 Issued in MD

Legal business name

GRANDIFF MEDICAL SUPPLIES INC

Practice address

11631 Nebel St
Rockville, MD 20852-2503

Phone

(301) 816-9100

Fax

(301) 816-0003

NPI assigned

Feb 23, 2009

Organization subpart

Yes

Parent organization

GRANDIFF MEDICAL SUPPLIES INCAs reported in NPPES

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

Authorized official

Name

Imaobong Akpaete

Title

President

Phone

(301) 816-9100

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Grandiff Medical Supplies Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Grandiff Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Silver Spring, MD
  • NPI 1669428124
  NPPES parent name

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1154561769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11631 NEBEL ST",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522503",
            "telephone_number": "301-816-9100",
            "fax_number": "301-816-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11631 NEBEL ST",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522503",
            "telephone_number": "301-816-9100",
            "fax_number": "301-816-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDIFF MEDICAL SUPPLIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRANDIFF MEDICAL SUPPLIES INC",
        "enumeration_date": "2009-02-23",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "AKPAETE",
        "authorized_official_first_name": "IMAOBONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-816-9100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "R2253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154561769",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419181100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Grana, PA-C
• Suany Granados-Hernandez
• Jade Granados
• Jenimae Granados
• Tavonya Granby
• Matei Grandison
• John J Grandner, CRNP
• George R Grange III, PT
• Frederika Granger, LCSW-C
• Alexandra Granruth

• Durable Medical Equipment & Medical Supplies in Rockville, MD
• Providers in Rockville, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.