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HOME I.V. CARE NPI 1528285111


NPI Information

NPI: 1528285111
Provider Name: HOME I.V. CARE
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
32751 EDWARD AVE
SUITE 101
MADISON HEIGHTS, MI
ZIP 48071
Phone: (248) 577-5670
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HOME I.V. CARE is a parenteral and enteral nutrition durable medical equipment medical supplies in Madison Heights, MI. HOME I.V. CARE NPI is 1528285111. The provider is registered as an organization entity type.

The provider's business location address is:

32751 EDWARD AVE
SUITE 101
MADISON HEIGHTS, MI
ZIP 48071-422
Phone: (248) 577-5670
Fax: (248) 577-5660

The provider's authorized official is Jeffery Stephen Bismack .
The authorized official title is President And C.e.o. and has the following contact phone number (248) 577-5670.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 10/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthMICHIGANNo
2251F00000XHome InfusionMICHIGANNo
3332B00000XDurable Medical Equipment & Medical SuppliesMICHIGANNo
4332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentMICHIGANNo
5332BD1200XDurable Medical Equipment & Medical SuppliesDialysis Equipment & SuppliesMICHIGANNo
6332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility SuppliesMICHIGANNo
7332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesMICHIGANNo
83336H0001XPharmacyHome Infusion Therapy PharmacyMICHIGANNo
9335E00000XProsthetic/Orthotic SupplierMICHIGANNo
10332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionMICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1872804497MEDICAIDMICHIGAN
2540F30963OTHERMICHIGANBCBSM SUPPLIER PROVIDER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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