Organization Active NPI

Active Healthcare Supplies, Inc

Doing business as Active Healthcare Supplies

  • Durable Medical Equipment & Medical Supplies
  • Bad Axe, MI
National Provider Identifier
1265758965
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ACTIVE HEALTHCARE SUPPLIES, INC
Doing business as
Active Healthcare Supplies
Practice address
1080 S Van Dyke Rd
Suite D
Bad Axe, MI 48413-9635
Phone
(989) 269-5400
Fax
(989) 269-5420
NPI assigned
Apr 20, 2010
Last updated
Dec 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Mr. Elias Kabban
Title
President
Phone
(989) 550-4035

Specialties & licenses 1

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

Addresses

Primary practice location

1080 S Van Dyke Rd
Suite D
Bad Axe, MI 48413-9635

Mailing address

944 Lakeview Dr
Harbor Beach, MI 48441-8902
Phone (989) 550-4035

Other names 1

  • Active Healthcare Supplies Doing business as

National Provider Directory

National Provider Directory

Locations

1080 S Van Dyke Rd
Ste D
Bad Axe, MI 48413
Phone (989) 269-5400

128 W Huron Ave
Ste A
Bad Axe, MI 48413
Phone (989) 269-5400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1265758965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 LAKEVIEW DR",
            "city": "HARBOR BEACH",
            "state": "MI",
            "postal_code": "484418902",
            "telephone_number": "989-550-4035",
            "fax_number": "989-550-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 S VAN DYKE RD",
            "address_2": "SUITE D",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139635",
            "telephone_number": "989-269-5400",
            "fax_number": "989-269-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HEALTHCARE SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "KABBAN",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-550-4035",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Healthcare Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bad Axe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.