Active NPI
Favor Medical Supplies LLC
- Durable Medical Equipment & Medical Supplies
- Detroit, MI
National Provider Identifier
1255540183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87-52160200 | Medicaid | MI |
National Provider Directory
National Provider Directory- Tax ID family
- Favor Medical Supplies LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Detroit, MI
- NPI 1639221625
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.