Organization Active NPI

Calmed Medical Supplies & Repair, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Southfield, MI
National Provider Identifier
1437194164
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4957680001 Issued in MI
Legal business name
CALMED MEDICAL SUPPLIES & REPAIR, INC.
Practice address
24123 Greeenfield Rd
Suite 100
Southfield, MI 48075-3125
Phone
(248) 440-6069
Fax
(248) 440-0107
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Authorized official

Name
Bentzion Oseroff, ABC LICENSED
Title
President
Phone
(248) 440-6069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4957680001 MI Primary

Addresses

Primary practice location

24123 Greeenfield Rd
Suite 100
Southfield, MI 48075-3125

Mailing address

24123 Greenfield Rd Ste 100
Southfield, MI 48075-3124
Phone (248) 440-6069

Other identifiers 1

IdentifierTypeStateIssuer
4577478MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930080011 MI DME Supplier - Medical Supply Company 4284841784 Practice locations: Southfield, MI

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

18877 W 10 Mile Rd
Ste 102
Southfield, MI 48075
Phone (248) 440-6069

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1437194164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24123 GREENFIELD RD STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753124",
            "telephone_number": "248-440-6069",
            "fax_number": "248-440-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24123 GREEENFIELD RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753125",
            "telephone_number": "248-440-6069",
            "fax_number": "248-440-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALMED MEDICAL SUPPLIES & REPAIR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "OSEROFF",
        "authorized_official_first_name": "BENTZION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-440-6069",
        "authorized_official_credential": "ABC LICENSED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "4957680001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4577478",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.