Organization Name: | SOVEREIGN CARE MEDICAL SUPPLIES INC |
NPI Number: | 1588908990 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AIMIEN OSAHON (CEO) |
Mailing Address: | 10512 177th St Jamaica |
State: | NY US |
Postal Code: | 114331811 |
Phone Number: | 7182979799 |
Fax Number: | |
NPI Enumeration Date: | 11/26/2012 |
NPI Last Update Date: | 11/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy 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 |