MEDICARE: ECHO CARE SUPPLIES INC

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	332B00000X	Durable Medical Equipment & Medical Supplies
2	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1417828930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ECHO CARE SUPPLIES INC

Provider Business Mailing Address
First Line	:	261 E MAPLE RD FL 2
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-6324
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	261 E MAPLE RD FL 2
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-6324
Country	:	US
Telephone Number	:	312-394-0466
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	NAZIM UDDIN MOHAMMED
Credential	:
Telephone Number	:	312-394-0466

Provider Enumeration Date	:	09/16/2025
Last Update Date	:	12/01/2025

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Directions to “ECHO CARE SUPPLIES INC ” Practice Location

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