MIRCO MEDICAL SUPPLY LLC (NPI# 1114494549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114494549 |
| Entity Type | Organization |
| Organization Name | MIRCO MEDICAL SUPPLY LLC |
| Practice Address |
3808 N Teutonia Ave Milwaukee WI 53206-1950 |
| Practice Telephone | 7797779755 |
| Mailing Telephone | 7797779755 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |
| Authorized Official Name | KWAKU ANING (OWNER) |
| Authorized Official Telephone | 7797779755 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
3808 N TEUTONIA AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53206-1950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634332 | Nehemiah House, LLC | Home Health | 3901 N 21st Street, Milwaukee, WI 53206 | 2020-09-22 |
| 1114548542 | Mtc Business Consulting & Management | Case Management | 2640 W Fondulac Ave, Milwaukee, WI 53206 | 2020-04-27 |
| 1558837096 | Allen Matthew Alston | Counselor | 2821 N. 4th St M&s Clinical Svc., Suite 210, Milwaukee, WI 53206 | 2018-10-23 |
| 1891282752 | Valerie Oliver | Midwife | 211 W Capital Dr, Milwaukee, WI 53206 | 2018-04-17 |
| 1629586540 | Major Quality Care, LLC | Assisted Living Facility | 3431 N 13th Street, Milwaukee, WI 53206 | 2018-01-12 |
| 1851812879 | Tony Gardner | Counselor | 3948 N. 18th Street, Milwaukee, WI 53206 | 2017-06-29 |
| 1699103010 | Sweet Butterfly Transportation Service LLC | Non-emergency Medical Transport (VAN) | 3331 North 20 Street, Milwaukee, WI 53206 | 2013-10-22 |
| 1043472558 | Josephine Adams | Registered Nurse | 3541 North 20th Street, Milwaukee, WI 53206 | 2008-06-26 |
| 1023280567 | Roundys Supermarkets Inc | Pharmacy | 9200 N Greenbay Road, Brown Deer, WI 53206 | 2008-03-25 |
| 1285797522 | Gerard D Fontaine | Dentist | 2406 W Capitol Dr, Milwaukee, WI 53206 | 2006-12-18 |
| Find all providers in zip 53206 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959506 | A Journey Home Medsupply | Durable Medical Equipment & Medical Supplies | 9575 W Fond Du Lac Ave Apt 19, Milwaukee, WI 53225-1645 | 2020-07-14 |
| 1720629504 | Layton Pharmacy Sc | Durable Medical Equipment & Medical Supplies | 2741 W Layton Ave Ste 105, Milwaukee, WI 53221-2600 | 2019-10-03 |
| 1386205854 | Abbas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 10850 W Park Pl Ste 560, Milwaukee, WI 53224-3606 | 2019-06-25 |
| 1841753159 | Love Is Patient Medical Supplies | Durable Medical Equipment & Medical Supplies | 3525 N 64th St, Milwaukee, WI 53216-2724 | 2019-04-12 |
| 1790242352 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 6255 N Santa Monica Blvd, Milwaukee, WI 53217-4353 | 2019-03-01 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1861924250 | Us Dme Inc | Durable Medical Equipment & Medical Supplies | 2701 N Martin Luther King Dr, 101-3, Milwaukee, WI 53212-2311 | 2017-04-03 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| 1225401862 | Debbie Lewis | Durable Medical Equipment & Medical Supplies | 4229 W Courtland Ave, Milwaukee, WI 53209-5839 | 2015-11-04 |
| 1013399807 | Face Down Recovery Equipment | Durable Medical Equipment & Medical Supplies | 3834 N 80th St, Milwaukee, WI 53222-2922 | 2015-06-29 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.