Organization Active NPI

Ultimate Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Dearborn, MI
National Provider Identifier
1457647448
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ULTIMATE MEDICAL SUPPLIES, INC.
Practice address
2012 Monroe St
Suite 104
Dearborn, MI 48124-2938
Phone
(313) 274-8200
Fax
(313) 274-8201
NPI assigned
Jun 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Ms. Sabah Amanda Hakim, CEO
Title
President
Phone
(313) 274-8200

Specialties & licenses 1

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

Addresses

Primary practice location

2012 Monroe St
Suite 104
Dearborn, MI 48124-2938

Mailing address

2012 Monroe St
Suite 104
Dearborn, MI 48124-2938
Phone (313) 274-8200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1457647448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 MONROE ST",
            "address_2": "SUITE 104",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242938",
            "telephone_number": "313-274-8200",
            "fax_number": "313-274-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 MONROE ST",
            "address_2": "SUITE 104",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242938",
            "telephone_number": "313-274-8200",
            "fax_number": "313-274-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "HAKIM",
        "authorized_official_first_name": "SABAH",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-274-8200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEO"
    },
    "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 Apr 25, 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.