Organization Active NPI

Shining Light Medical Equipment Inc

  • Durable Medical Equipment & Medical Supplies
  • Livonia, MI
National Provider Identifier
1720012461
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHINING LIGHT MEDICAL EQUIPMENT INC
Practice address
31153 Plymouth Rd
Suite 103
Livonia, MI 48150
Phone
(734) 524-0552
Fax
(734) 524-0533
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Armando S Medina
Title
President
Phone
(734) 524-0552

Specialties & licenses 1

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

Addresses

Primary practice location

31153 Plymouth Rd
Suite 103
Livonia, MI 48150

Mailing address

31153 Plymouth Rd
Suite 103
Livonia, MI 48150
Phone (734) 524-0552

National Provider Directory

National Provider Directory

Locations

31153 Plymouth Rd
Ste 103
Livonia, MI 48150
Phone (734) 469-4565

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1720012461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31153 PLYMOUTH RD",
            "address_2": "SUITE 103",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48150",
            "telephone_number": "734-524-0552",
            "fax_number": "734-524-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31153 PLYMOUTH RD",
            "address_2": "SUITE 103",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48150",
            "telephone_number": "734-524-0552",
            "fax_number": "734-524-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING LIGHT MEDICAL EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-524-0552"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.