Provider Demographics
NPI:1588691257
Name:MEDCORE HOME MEDICAL EQUIPMENT LLC
Entity type:Organization
Organization Name:MEDCORE HOME MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANWAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-478-8610
Mailing Address - Street 1:18618 MIDDLEBELT RD
Mailing Address - Street 2:STE 103
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3585
Mailing Address - Country:US
Mailing Address - Phone:248-478-8610
Mailing Address - Fax:248-478-8611
Practice Address - Street 1:18618 MIDDLEBELT RD
Practice Address - Street 2:STE 103
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3585
Practice Address - Country:US
Practice Address - Phone:248-478-8610
Practice Address - Fax:248-478-8611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-27
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
540H224730OtherBCBS
MI874734266Medicaid
5370210001Medicare ID - Type Unspecified