NPIMap

Organization Active NPI

Grandiff Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Silver Spring, MD
National Provider Identifier
1669428124
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
R2253 Issued in MD
Legal business name
GRANDIFF MEDICAL SUPPLIES INC
Practice address
20 Vital Way
Silver Spring, MD 20904-3446
Phone
(301) 388-0596
Fax
(301) 388-0597
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Imaobong Nnsewo Akpaete
Title
Director
Phone
(301) 388-0596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X R2253 MD Primary

Addresses

Primary practice location

20 Vital Way
Silver Spring, MD 20904-3446

Mailing address

20 Vital Way
Silver Spring, MD 20904-3446
Phone (301) 388-0596

Other identifiers 4

IdentifierTypeStateIssuer
027061500MedicaidDC
009119175MedicaidVA
414364700MedicaidMD
10079260OtherMDAMERIGROUP

Other names 1

  • GRANDIFF MEDICAL SUPPLIES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930073036 MD DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 3072714864 Practice locations: Silver Spring, MD

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Grandiff Medical Supplies Inc20 Vital Way, Silver Spring, MD 20904-3446(301) 388-0596 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical N… Does not accept assignmentParticipating since Jan 1, 2022

National Provider Directory

National Provider Directory

Locations

20 Vital Way
Silver Spring, MD 20904
Phone (301) 388-0596

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1669428124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 VITAL WAY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209043446",
            "telephone_number": "301-388-0596",
            "fax_number": "301-388-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 VITAL WAY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209043446",
            "telephone_number": "301-388-0596",
            "fax_number": "301-388-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDIFF MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "AKPAETE",
        "authorized_official_first_name": "IMAOBONG",
        "authorized_official_middle_name": "NNSEWO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-388-0596"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "R2253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027061500",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009119175",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414364700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10079260",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRANDIFF MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.