Norcrest Medical Equipment & Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NORCREST MEDICAL EQUIPMENT & SUPPLIES LLC

Practice address

15400 Grand River Ave
Suite 11
Detroit, MI 48227-4124

Phone

(313) 835-6884

Fax

(313) 835-6895

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Attaessien A Ubokudom

Title

Owner/Ceo

Phone

(313) 835-6884

Specialties & licenses 1

Addresses

Other names 1

• LLC Other name

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629173455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 GRAND RIVER AVE",
            "address_2": "SUITE 11",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482274124",
            "telephone_number": "313-835-6884",
            "fax_number": "313-835-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 GRAND RIVER AVE",
            "address_2": "SUITE 11",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482274124",
            "telephone_number": "313-835-6884",
            "fax_number": "313-835-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORCREST MEDICAL EQUIPMENT & SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UBOKUDOM",
        "authorized_official_first_name": "ATTAESSIEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "313-835-6884",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Detroit, MI
• Providers in Detroit, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.