Organization Active NPI

Medware L L C

  • Durable Medical Equipment & Medical Supplies
  • Birmingham, MI
National Provider Identifier
1932266079
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
MEDWARE L L C
Practice address
912 S Old Woodward Ave
Birmingham, MI 48009-6721
Phone
(248) 647-3200
NPI assigned
Jan 1, 2007
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
Ms. Ellen Lynne Bennage, DMEPOS
Title
Ceo
Phone
(248) 808-1768

Specialties & licenses 1

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

Addresses

Primary practice location

912 S Old Woodward Ave
Birmingham, MI 48009-6721

Mailing address

1961 Henrietta St
Birmingham, MI 48009-4169
Phone (248) 808-1768

National Provider Directory

National Provider Directory

Locations

912 S Old Woodward Ave
Birmingham, MI 48009
Phone (248) 537-2639

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1932266079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 HENRIETTA ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480094169",
            "telephone_number": "248-808-1768",
            "fax_number": "248-258-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S OLD WOODWARD AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096721",
            "telephone_number": "248-647-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWARE L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BENNAGE",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-808-1768",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DMEPOS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, 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.