Organization Active NPI

Self Care Medical Equipment Inc.

  • Oxygen Equipment & Supplies (DME)
  • Sylvan Lake, MI
National Provider Identifier
1720268055
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
SELF CARE MEDICAL EQUIPMENT INC.
Doing business as
Self-Care Medical Equipment
Practice address
2505 Orchard Lake Rd
Sylvan Lake, MI 48320-1535
Phone
(248) 850-2018
Fax
(248) 786-3370
NPI assigned
Nov 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Mr. Adam Moy
Title
President/Ceo
Phone
(248) 850-2018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

2505 Orchard Lake Rd
Sylvan Lake, MI 48320-1535

Mailing address

2505 Orchard Lake Rd
Sylvan Lake, MI 48320-1535
Phone (248) 850-2018

Other identifiers 1

IdentifierTypeStateIssuer
1720268055MedicaidMI

Other names 1

  • Self-Care Medical Equipment Doing business as

National Provider Directory

National Provider Directory

Locations

520 E 12 Mile Rd
Ste C
Madison Heights, MI 48071
Phone (248) 584-2273

NPI Registry JSON

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

{
    "created_epoch": "1194048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1720268055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 ORCHARD LAKE RD",
            "city": "SYLVAN LAKE",
            "state": "MI",
            "postal_code": "483201535",
            "telephone_number": "248-850-2018",
            "fax_number": "248-786-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 ORCHARD LAKE RD",
            "city": "SYLVAN LAKE",
            "state": "MI",
            "postal_code": "483201535",
            "telephone_number": "248-850-2018",
            "fax_number": "248-786-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF CARE MEDICAL EQUIPMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-03",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "MOY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "248-850-2018",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720268055",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Self-Care Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylvan Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.