Provider Demographics
NPI:1063563773
Name:ALERT RENTAL, INC.
Entity type:Organization
Organization Name:ALERT RENTAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:VADAKKAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOB
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:586-574-0128
Mailing Address - Street 1:4674 ERIN CT
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9790
Mailing Address - Country:US
Mailing Address - Phone:586-574-0128
Mailing Address - Fax:586-574-0132
Practice Address - Street 1:30636 DEQUINDRE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48092-4819
Practice Address - Country:US
Practice Address - Phone:586-574-0128
Practice Address - Fax:586-574-0132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2659663Medicaid
MI0152300001Medicare ID - Type UnspecifiedD.M.E.