Original Mami LLC
Durable Medical Equipment & Medical Supplies, Customized Equipment in Gilbert, AZ. Organization (NPI-2).
Details
- NPI
- 1962275552
- Entity type
- Organization (NPI-2)
- Legal business name
- Original Mami LLC
- Organization subpart
- No
- Enumeration date
- Nov 6, 2023
- Certification date
- Jul 18, 2025
- Last updated
- Jul 18, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – | Yes |
| 163W00000X | Registered Nurse | – | – | |
| 163WL0100X | Registered Nurse, Lactation Consultant | – | – | |
| 251J00000X | Nursing Care | – | – |
Practice location
7 E Palo Verde St Ste 10Gilbert, AZ 85296-1045
Phone 480-618-7219 · Fax 480-885-2402
Mailing address
7 E Palo Verde St Ste 10Gilbert, AZ 85296-1045
Phone 480-203-1136
Authorized official
Stephanie Celis
Owner
4802031136
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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