Organization Active NPI

Favor Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Detroit, MI
National Provider Identifier
1255540183
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FAVOR MEDICAL SUPPLIES LLC
Practice address
15730 West Seven Mile Road
Favor Medical Supplies LLC
Detroit, MI 48235
Phone
(313) 273-5759
Fax
(313) 273-3022
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Mr. John S Ekpo
Title
President
Phone
(313) 273-5759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

15730 West Seven Mile Road
Favor Medical Supplies LLC
Detroit, MI 48235

Mailing address

15730 West Seven Mile Road
Favor Medical Supplies LLC
Detroit, MI 48235
Phone (313) 273-5759

Other identifiers 1

IdentifierTypeStateIssuer
87-52160200MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Favor Medical Supplies LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1255540183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15730 WEST SEVEN MILE ROAD",
            "address_2": "FAVOR MEDICAL SUPPLIES LLC",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48235",
            "telephone_number": "313-273-5759",
            "fax_number": "313-273-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15730 WEST SEVEN MILE ROAD",
            "address_2": "FAVOR MEDICAL SUPPLIES LLC",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48235",
            "telephone_number": "313-273-5759",
            "fax_number": "313-273-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAVOR MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "EKPO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-273-5759",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "87-52160200",
            "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 Aug 25, 2009; 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.