Organization Active NPI

Action Medical Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • Warren, MI
National Provider Identifier
1316013345
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ACTION MEDICAL EQUIPMENT LLC
Practice address
29250 Ryan Road
Warren, MI 48092-4242
Phone
(586) 751-8680
Fax
(586) 573-9661
NPI assigned
Nov 28, 2006
Last updated
Mar 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Mr. Brent Hable
Title
Owner
Phone
(586) 751-8680

Specialties & licenses 1

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

Addresses

Primary practice location

29250 Ryan Road
Warren, MI 48092-4242

Mailing address

29250 Ryan Road
Warren, MI 48092-4242
Phone (586) 751-8680

Other identifiers 2

IdentifierTypeStateIssuer
874503670MedicaidMI
540E008090OtherBC BS OF MI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930044862 MI DME Supplier - Medical Supply Company 9830302843 Practice locations: Warren, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Action Medical Equipment29250 Ryan Rd, Warren, MI 48092-4242(586) 751-8680 Commodes, Urinals, Bedpans|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Ner… Accepts assignmentParticipating since Jan 1, 2019

National Provider Directory

National Provider Directory

Locations

29250 Ryan Rd
Warren, MI 48092
Phone (586) 751-8680

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1316013345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29250 RYAN ROAD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924242",
            "telephone_number": "586-751-8680",
            "fax_number": "586-573-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29250 RYAN ROAD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924242",
            "telephone_number": "586-751-8680",
            "fax_number": "586-573-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "HABLE",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-751-8680",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "874503670",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MI",
            "identifier": "540E008090",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.