Active NPI
Proventus Elite, LCC
- Durable Medical Equipment & Medical Supplies
- Ann Arbor, MI
National Provider Identifier
1831898477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.