MEDICARE: RESPIRAMED SUPPLY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1043154297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESPIRAMED SUPPLY LLC

Provider Business Mailing Address
First Line	:	6569 FENTON ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2114
Country	:	US
Telephone Number	:	313-925-5554
Fax Number	:

Provider Business Practice Location Address
First Line	:	6569 FENTON ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2114
Country	:	US
Telephone Number	:	313-925-5554
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. ALI HATEM BASMA
Credential	:
Telephone Number	:	313-925-5554

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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Directions to “RESPIRAMED SUPPLY LLC ” Practice Location

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