Provider Demographics
NPI:1538844402
Name:ENSURE DME SUPPLY LLC
Entity type:Organization
Organization Name:ENSURE DME SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:HARIS BIN ZARAR
Authorized Official - Middle Name:
Authorized Official - Last Name:AL JABRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-281-8408
Mailing Address - Street 1:8400 BUSTLETON AVE STE 10A
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-1918
Mailing Address - Country:US
Mailing Address - Phone:800-967-9598
Mailing Address - Fax:
Practice Address - Street 1:8400 BUSTLETON AVE STE 10A
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-1918
Practice Address - Country:US
Practice Address - Phone:800-967-9598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-19
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies