Redemptive Medical Equipment ,LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

REDEMPTIVE MEDICAL EQUIPMENT ,LLC

Practice address

16190 E 13 Mile Rd
Roseville, MI 48066-1505

Phone

(586) 498-7900

Fax

(877) 218-4462

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Stephanie Synod

Title

Vice-President

Phone

(586) 778-1679

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Redemptive Medical Equipment ,LLC

  • Customized Equipment (DME)
  • Fort Myers, FL
  • NPI 1548933690

  4486852282

  Same PAC ID

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

Locations

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1487829941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30550 GRATIOT AVE UNIT 247",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480666710",
            "telephone_number": "586-498-7900",
            "fax_number": "877-218-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16190 E 13 MILE RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661505",
            "telephone_number": "586-498-7900",
            "fax_number": "877-218-4462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10970 S Cleveland Ave Ste 601",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339072346",
            "country_code": "US",
            "telephone_number": "877-498-7903",
            "fax_number": "877-218-4462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REDEMPTIVE MEDICAL EQUIPMENT ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "SYNOD",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "586-778-1679"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Roseville, MI
• Providers in Roseville, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.