Organization Active NPI

Med Rent Inc

  • Durable Medical Equipment & Medical Supplies
  • Walled Lake, MI
National Provider Identifier
1851401376
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MED RENT INC
Practice address
929 N Pontiac Trail
Walled Lake, MI 48390-3235
Phone
(248) 926-9694
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Raymond George McCollum
Title
Owner Ceo
Phone
(248) 926-1133

Specialties & licenses 1

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

Addresses

Primary practice location

929 N Pontiac Trail
Walled Lake, MI 48390-3235

Mailing address

929 N Pontiac TRL
Walled Lake, MI 48390-3235
Phone (248) 798-0009

Other identifiers 1

IdentifierTypeStateIssuer
4964829MedicaidMI

National Provider Directory

National Provider Directory

Locations

929 N Pontiac Trl
Walled Lake, MI 48390
Phone (248) 926-1133

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851401376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N PONTIAC TRL",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903235",
            "telephone_number": "248-798-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N PONTIAC TRAIL",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903235",
            "telephone_number": "248-926-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED RENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER  CEO",
        "authorized_official_telephone_number": "248-926-1133"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4964829",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walled Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.