Amputee Service Center, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

AMPUTEE SERVICE CENTER, LLC

Practice address

805 W Michigan Ave
Jackson, MI 49202-4103

Phone

(517) 784-1142

Fax

(877) 272-0290

NPI assigned

Nov 3, 2005

Organization subpart

Yes

Parent organization

HANGER INCAs reported in NPPES

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

Authorized official

Name

Grace Angeline

Title

Reg Compliance Specialist IV

Phone

(714) 961-2102

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Transcend Orthotics & Prosthetics Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Hanger Prosthetics & Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • Gainesville, GA
  • NPI 1659443380

  Member Of

  NPD member
• Transcend Orthotics & Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • South Bend, IN
  • NPI 1548252851

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1851382295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492024103",
            "telephone_number": "517-784-1142",
            "fax_number": "877-272-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPUTEE SERVICE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2005-11-03",
        "last_updated": "2022-12-02",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "ANGELINE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "REG COMPLIANCE SPECIALIST IV",
        "authorized_official_telephone_number": "714-961-2102"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3263669",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0C80701",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transcend Orthotics & Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farhad Amani, DO
• Sravanti Ambati
• America'S Best Contacts & Eyeglasses
• American Academy of Nurse Practitioners
• Hossein Amirjamshidi, M.D., MSC.
• Amritraj Loganathan MD PC
• Dawn Marie Anderson-Meier, LMSW, ACSW
• Abby L Anderson, PA-C
• Akearah Anderson
• Allen Lamont Anderson

• All providers in Jackson, MI
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.