=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023688231
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GREATER COMFORT DME LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/29/2021
-----------------------------------------------------
Last Update Date | 11/22/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 29226 ORCHARD LAKE RD STE 160
-----------------------------------------------------
City | FARMINGTON HILLS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48334-2990
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-973-7625
-----------------------------------------------------
Fax | 248-487-9626
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8500 LEESURG PIKE STE 500
-----------------------------------------------------
City | VIENNA
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22182
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-973-7625
-----------------------------------------------------
Fax | 248-487-9625
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEMBER
-----------------------------------------------------
Name | AMARJI GHUMAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 248-973-7625
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------