Organization Active NPI

Kimberly Maternity LLC

  • Durable Medical Equipment & Medical Supplies
  • Southfield, MI
National Provider Identifier
1851693543
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KIMBERLY MATERNITY LLC
Practice address
20700 Civic Center Dr
Suite 170
Southfield, MI 48076-4140
Phone
(800) 709-2187
Fax
(800) 709-2187
NPI assigned
Dec 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Breana Bailey Mills
Title
Owner
Phone
(800) 709-2187

Specialties & licenses 1

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

Addresses

Primary practice location

20700 Civic Center Dr
Suite 170
Southfield, MI 48076-4140

Mailing address

20700 Civic Center Dr
Suite 170
Southfield, MI 48076-4140
Phone (800) 709-2187

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1851693543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20700 CIVIC CENTER DR",
            "address_2": "SUITE 170",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764140",
            "telephone_number": "800-709-2187",
            "fax_number": "800-709-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 CIVIC CENTER DR",
            "address_2": "SUITE 170",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764140",
            "telephone_number": "800-709-2187",
            "fax_number": "800-709-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY MATERNITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "BREANA",
        "authorized_official_middle_name": "BAILEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-709-2187"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.