Nova DME LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NOVA DME LLC

Practice address

26222 Telegraph Rd
Ste 300
Southfield, MI 48033-5318

Phone

(248) 250-3393

NPI assigned

Feb 9, 2016

Organization subpart

No

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

Authorized official

Name

Kevin Edward Katschanow

Title

Sole Member

Phone

(248) 250-3393

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1740648435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26222 TELEGRAPH RD",
            "address_2": "STE 300",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26222 TELEGRAPH RD",
            "address_2": "STE 300",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335318",
            "telephone_number": "248-250-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "KATSCHANOW",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "248-250-3393"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jason Daniel Nosrati, M.D.
• Ambrosia Nottage, LPC,CRC
• Nova Health Pharmacy LLC
• Novahealth Urgent Care of Southfield
• Toyia Novak
• Novamed LLC
• Gasper Novara, LMSW

• Durable Medical Equipment & Medical Supplies in Southfield, MI
• Providers in Southfield, 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 Feb 9, 2016; 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.