1285604348 NPI number — HOME RESPIRATORY CARE & HOSPITAL EQUIPMENT, INC

Table of content: (NPI 1285604348)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285604348 NPI number — HOME RESPIRATORY CARE & HOSPITAL EQUIPMENT, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOME RESPIRATORY CARE & HOSPITAL EQUIPMENT, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285604348
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17700 W MCNICHOLS RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DETROIT
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48235-3344
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
313-534-1720
Provider Business Mailing Address Fax Number:
313-534-2013

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17700 W MCNICHOLS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48235-3344
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-534-1720
Provider Business Practice Location Address Fax Number:
313-534-2013
Provider Enumeration Date:
01/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PONDEXTER
Authorized Official First Name:
GWENDOLYN
Authorized Official Middle Name:
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
313-534-1720

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 332BC3200X , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 332BD1200X , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 332BN1400X , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 332BP3500X , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 332BX2000X , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 03218 . This is a "MIDWEST A.B.W.I" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 31318 . This is a "HEALTH PLAN OF MICHIGAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 49227 . This is a "OMNI CARE COVENTRY HEALTH" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 03218 . This is a "MIDWEST AKM" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 0300052 . This is a "NORTHWOOD INC" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 1643032 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: P43524 . This is a "BLUE CARE NETWORK" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 0000000002672 . This is a "CAPE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 03218 . This is a "MIDWEST HEALTH PLAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 0435170001 . This is a "HEALTH ALLIANCE PLAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 52537 . This is a "NATIONAL PROVIDER NETWORK" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 121422 . This is a "GREAT LAKES HEALTH PLAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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