MYSTIC MEDICAL EQUIPMENT INCORPORATED (NPI# 1518098276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518098276 |
| Entity Type | Organization |
| Organization Name | MYSTIC MEDICAL EQUIPMENT INCORPORATED |
| Practice Address |
23660 Research Dr Farmington Hills MI 48335-2643 |
| Practice Telephone | 2484768811 |
| Mailing Telephone | 2484768811 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2011-08-15 |
| Authorized Official Name | MR. PAUL F WENSON (OWNER CEO) |
| Authorized Official Telephone | 2484768811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3025219 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861678831 | Mystic Medical Equipment Incorporated | Durable Medical Equipment & Medical Supplies | 20467 Mack Ave, Grosse Pointe Woods, MI 48236-1654 | 2008-01-21 |
| Street Address |
23660 RESEARCH DR |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48335-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093374928 | Truth Home Healthcare | Home Health | 39248 Polo Club Dr. Apt 104, Farmington Hills, MI 48335 | 2019-06-13 |
| 1023677424 | Ashly Cyriac | Optometrist | 21625 Green Hill Rd, Farmington Hills, MI 48335 | 2019-06-10 |
| 1326531419 | Roslee Urey Sole Mbr | Home Infusion | 22934 Buckingham Dr., Farmington Hills, MI 48335 | 2018-06-13 |
| 1063920981 | Pioneer Pharmacy Services LLC | Pharmacy | 24615-24617 Halsted Rd, Farmington Hills, MI 48335 | 2018-01-12 |
| 1548702764 | Nimerdeep K Brar | Dentist | 35745 N Grandview Ct, #30101, Farmington Hills, MI 48335 | 2016-11-07 |
| 1225489784 | Marc Peter Goulet | Emergency Medicine | 37000 Grand River Ave Ste 310, Farmington Hills, MI 48335 | 2016-06-27 |
| 1649693284 | Farmington Family Dental Pllc | Dentist | 34405 Grand River, Farmington, MI 48335 | 2014-02-03 |
| 1912283565 | Silva Dilliwal | Physical Therapist | 24100 Drake Rd Suite B, Therapy Unlimited, Farmington, MI 48335 | 2011-10-27 |
| 1952554040 | Aaron Michael Shepherd | Psychologist | 38345 West 10 Mile Road Suite 150, Farmington, MI 48335 | 2008-11-03 |
| 1619155298 | Ksa Consulting LLC | Home Health | 37000 Grand River Ave, Suite 370, Farmington Hills, MI 48335 | 2008-02-05 |
| Find all providers in zip 48335 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720645278 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 32395 Northwestern Hwy, Farmington Hills, MI 48334-1535 | 2019-05-21 |
| 1912563677 | Cork Medical LLC | Durable Medical Equipment & Medical Supplies | 24077 Research Dr, Farmington Hills, MI 48335-2632 | 2019-05-17 |
| 1073076659 | Audio Visual Central LLC | Durable Medical Equipment & Medical Supplies | 24776 Crestview Ct, Farmington Hills, MI 48335-1506 | 2019-04-10 |
| 1134694029 | Homepro Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 30180 Orchard Lake Rd Ste 150, Farmington Hills, MI 48334-2266 | 2018-10-08 |
| 1730554205 | Detroit Infant Health | Durable Medical Equipment & Medical Supplies | 30201 Orchard Lake Rd Bldg 112, Farmington Hills, MI 48334-2277 | 2015-12-09 |
| 1538548458 | Shavohn Rowser | Durable Medical Equipment & Medical Supplies | 38657 Lancaster Dr, Farmington Hills, MI 48331 | 2015-05-26 |
| 1740531441 | Gate Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 31355 W 13 Mile Rd, Suite 200, Farmington Hills, MI 48334-2286 | 2012-09-21 |
| 1790049468 | Crow Creek Therapeutics, LLC | Durable Medical Equipment & Medical Supplies | 24619 Halsted Rd, Farmington Hills, MI 48335-1611 | 2012-06-27 |
| 1326311135 | Phase One Rehab, LLC | Durable Medical Equipment & Medical Supplies | 34119 W 12 Mile Rd Ste 160, Farmington Hills, MI 48331-3371 | 2012-02-10 |
| 1730456278 | Flexpro LLC | Durable Medical Equipment & Medical Supplies | 23889 Freeway Park Dr, Farmington Hills, MI 48335-2815 | 2011-11-29 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48335 |
Please comment or provide details below to improve the information on MYSTIC MEDICAL EQUIPMENT INCORPORATED.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.