Organization Active NPI

Cevian Health Distributors, LLC

  • Durable Medical Equipment & Medical Supplies
  • Detroit, MI
National Provider Identifier
1659716744
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5306004024 Issued in MI
Legal business name
CEVIAN HEALTH DISTRIBUTORS, LLC
Practice address
20615 Fenkell St Unit 23851
Detroit, MI 48223-3745
Phone
(248) 429-7381
NPI assigned
May 3, 2013
Last updated
Nov 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Sean Slade
Title
Ceo
Phone
(248) 429-7381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5306004024 MI Primary

Addresses

Primary practice location

20615 Fenkell St Unit 23851
Detroit, MI 48223-3745

Mailing address

20615 Fenkell St Unit 23851
Detroit, MI 48223-3745

National Provider Directory

National Provider Directory

Locations

20615 Fenkell St
Unit 23851
Detroit, MI 48223
Phone (248) 429-7381

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1659716744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20615 FENKELL ST UNIT 23851",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482233745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20615 FENKELL ST UNIT 23851",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482233745",
            "telephone_number": "248-429-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEVIAN HEALTH DISTRIBUTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "SLADE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-429-7381"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5306004024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.