Organization Active NPI

Rehab One Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Dearborn, MI
National Provider Identifier
1316493059
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
REHAB ONE MEDICAL SUPPLY, LLC
Practice address
22720 Michigan Ave Ste 100B
Dearborn, MI 48124-2035
Phone
(313) 565-2224
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Haanei Shwehdi
Title
President
Phone
(313) 565-2224

Specialties & licenses 1

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

Addresses

Primary practice location

22720 Michigan Ave Ste 100B
Dearborn, MI 48124-2035

Mailing address

22720 Michigan Ave Ste 100B
Dearborn, MI 48124-2035
Phone (313) 565-2224

National Provider Directory

National Provider Directory

Locations

22720 Michigan Ave
Ste 100B
Dearborn, MI 48124
Phone (313) 565-2224

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1316493059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22720 MICHIGAN AVE STE 100B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242035",
            "telephone_number": "313-565-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22720 MICHIGAN AVE STE 100B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242035",
            "telephone_number": "313-565-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB ONE MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "SHWEHDI",
        "authorized_official_first_name": "HAANEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-565-2224"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.