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Supreme Rehab Inc
Durable Medical Equipment & Medical Supplies in Farmington Hills, Michigan
NPI 1477627115

Supreme Rehab Inc is a Durable Medical Equipment & Medical Supplies based in Farmington Hills, MI. Supreme Rehab Inc practices in Farmington Hills, MI. The NPI Number for Supreme Rehab Inc is 1477627115 and holds a License No. 638089 (Michigan).

The current practice location address for Supreme Rehab Inc is 29930 W 12 Mile Rd Ste 3, Farmington Hills, MI and can be reached out via phone at 248-862-2512 and via fax at 248-862-2145. You can also correspond with Supreme Rehab Inc through the mailing address at 29930 W 12 MILE RD STE 3, FARMINGTON HILLS, MI - 48334-3983 (mailing address contact number: 248-862-2512).

Location: 29930 W 12 Mile Rd Ste 3, Farmington Hills, MI, 48334-3983
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477627115
Provider Name
Supreme Rehab Inc
Credential
Provider Entity Type
Organization
Address
29930 W 12 Mile Rd Ste 3, Farmington Hills, MI, 48334-3983
Phone Number
248-862-2512
Fax Number
248-862-2145
Provider Enumeration Date
11/17/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0E828 01 MI BCBS OF MICHIGAN
2039402 05 MI
institution
Provider Business Practice Location Address Details
Address
29930 W 12 Mile Rd Ste 3
City
Farmington Hills
State
Michigan
Zip
48334-3983
Phone Number
248-862-2512
Fax Number
248-862-2145
person
Provider Business Mailing Address Details
Address
29930 W 12 Mile Rd Ste 3
City
Farmington Hills
State
Michigan
Zip
48334-3983
Phone Number
248-862-2512
Fax Number
248-862-2145
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
4105160001 (Michigan)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
638089 (Michigan)
Definition
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.
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