Rivana Medical Equipment LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5306005100 Issued in MI

Legal business name

RIVANA MEDICAL EQUIPMENT LLC

Practice address

4208 E 14 Mile Rd
Warren, MI 48092-4325

Phone

(586) 883-9963

Fax

(586) 883-9731

NPI assigned

May 18, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Mina Yousif

Title

Vice President

Phone

(586) 883-9963

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1831689405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 E 14 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924325",
            "telephone_number": "586-944-3029",
            "fax_number": "586-722-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 E 14 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924325",
            "telephone_number": "586-883-9963",
            "fax_number": "586-883-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVANA MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "YOUSIF",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "586-883-9963",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5306005100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Warren, MI
• Providers in Warren, 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 Nov 22, 2019; 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.