Organization Active NPI

Morning Star Medical Enterprises LLC

  • Durable Medical Equipment & Medical Supplies
  • Lawrenceville, GA
National Provider Identifier
1508556820
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MORNING STAR MEDICAL ENTERPRISES LLC
Practice address
1027 Park Hollow Way
Lawrenceville, GA 30043-3869
Phone
(678) 234-4362
NPI assigned
May 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Omokayode OgundimuNPI 1457948978
Title
Owner
Phone
(678) 234-4362

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

1027 Park Hollow Way
Lawrenceville, GA 30043-3869

Mailing address

1027 Park Hollow Way
Lawrenceville, GA 30043-3869

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1508556820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 PARK HOLLOW WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 PARK HOLLOW WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433869",
            "telephone_number": "678-234-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNING STAR MEDICAL ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "OGUNDIMU",
        "authorized_official_first_name": "OMOKAYODE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-234-4362"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.