Organization Active NPI

Shah-Ni-4 Inc.

Doing business as Prime Careline

  • Durable Medical Equipment & Medical Supplies
  • Milwaukee, WI
National Provider Identifier
1316564388
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHAH-NI-4 INC.
Doing business as
Prime Careline
Practice address
8210B W Capitol Dr
Milwaukee, WI 53222-1922
Phone
(414) 488-4575
Fax
(414) 455-8007
NPI assigned
Jun 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Authorized official

Name
Shahzad NoorNPI 1720605751
Title
President
Phone
(414) 488-4575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8210B W Capitol Dr
Milwaukee, WI 53222-1922

Mailing address

8210B W Capitol Dr
Milwaukee, WI 53222-1922
Phone (414) 488-4575

Other names 1

  • Prime Careline Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shah-Ni-4 Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8210 W Capitol Dr
#B
Milwaukee, WI 53222
Phone (414) 488-4575

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": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1316564388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210B W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221922",
            "telephone_number": "414-488-4575",
            "fax_number": "414-455-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210B W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221922",
            "telephone_number": "414-488-4575",
            "fax_number": "414-455-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH-NI-4 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "NOOR",
        "authorized_official_first_name": "SHAHZAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-488-4575"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Careline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.