Organization Active NPI

Proventus Elite, LCC

  • Durable Medical Equipment & Medical Supplies
  • Ann Arbor, MI
National Provider Identifier
1831898477
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PROVENTUS ELITE, LCC
Practice address
112 S Main St Ste a
Ann Arbor, MI 48104-1953
Phone
(734) 644-0780
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Mr. Scott Loewe
Title
Managing Partner
Phone
(734) 929-2160

Specialties & licenses 1

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

Addresses

Primary practice location

112 S Main St Ste a
Ann Arbor, MI 48104-1953

Mailing address

112 S Main St Ste a
Ann Arbor, MI 48104-1953
Phone (734) 644-0780

Other names 1

  • Proventus Elite Doing business as

National Provider Directory

National Provider Directory

Locations

251 Jackson Plz
Ste A2
Ann Arbor, MI 48103

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1831898477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST STE A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041953",
            "telephone_number": "734-644-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST STE A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041953",
            "telephone_number": "734-644-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVENTUS ELITE, LCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "LOEWE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "734-929-2160",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proventus Elite",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Proventus Elite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.