Cedan Medical Supplies Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

155193 Issued in NC

Legal business name

CEDAN MEDICAL SUPPLIES INC.

Practice address

7800 Airport Center Dr
401
Greensboro, NC 27409-9089

Phone

(336) 272-0166

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jerald Deshon Forrest

Title

President of Home Health Division

Phone

(336) 272-0166

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902962129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 AIRPORT CENTER DR",
            "address_2": "401",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099089",
            "telephone_number": "336-272-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 AIRPORT CENTER DR",
            "address_2": "401",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099089",
            "telephone_number": "336-272-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAN MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "DESHON",
        "authorized_official_title_or_position": "PRESIDENT OF  HOME HEALTH DIVISION",
        "authorized_official_telephone_number": "336-272-0166",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "155193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.