Individual provider Active NPI

Hussein Beydoun, OWNER

  • Durable Medical Equipment & Medical Supplies
  • Lathrup Village, MI
National Provider Identifier
1295099919
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
364724682 Issued in MI
Practice address
28840 Southfield Rd Ste 240
Lathrup Village, MI 48076-2780
Phone
(248) 262-7808
Fax
(248) 809-2047
NPI assigned
Jun 27, 2012
Last updated
Jun 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 364724682 MI Primary

Addresses

Primary practice location

28840 Southfield Rd Ste 240
Lathrup Village, MI 48076-2780

Mailing address

28840 Southfield Rd Ste 240
Lathrup Village, MI 48076-2780
Phone (248) 262-7808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
364724682MIMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Global Care Medical Supply, LLC Durable Medical Equipment & Medical Supplies Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1295099919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28840 SOUTHFIELD RD STE 240",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762780",
            "telephone_number": "248-262-7808",
            "fax_number": "248-809-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28840 SOUTHFIELD RD STE 240",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762780",
            "telephone_number": "248-262-7808",
            "fax_number": "248-809-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYDOUN",
        "first_name": "HUSSEIN",
        "credential": "OWNER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "364724682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.