GREAT LAKES MEDICAL EQUIPMENT, INC. (NPI# 1578564852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578564852 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES MEDICAL EQUIPMENT, INC. |
| Practice Address |
2301 E Michigan Ave Jackson MI 49202-3700 |
| Mailing Address |
Po Box 1402 Jackson MI 49204 |
| Practice Telephone | 5175367350 |
| Practice Fax Number | 5175360671 |
| Mailing Telephone | 5175367350 |
| Mailing Fax Number | 5175360671 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | COLLEEN SHAUGHNESSY ANDERSON (VICE PRESIDENT) |
| Authorized Official Telephone | 5175367350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NORTHWOOD NPN | 57478 | 01 |
| MI | NORTHWOOD, INC. | 1431 | 01 |
| MI | 2889073 | 05 | |
| MI | BLUE CROSS BLUE SHIELD MI | 540C80499 | 01 |
| MI | HEALTHPLUS OF MI | XX20420 | 01 |
| Street Address |
2301 E MICHIGAN AVE |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889666 | Rhonda Lynn Smith | Case Manager/Care Coordinator | 2301 E Michigan Ave, Jackson, MI 49202-3700 | 2020-10-21 |
| 1215400577 | Thrive Therapy, LLC | Social Worker | 2301 E Michigan Ave, Jackson, MI 49202-3700 | 2019-01-09 |
| 1033687009 | Humberto Ramos Jr. | Case Manager/Care Coordinator | 2301 E Michigan Ave, Jackson, MI 49202-3700 | 2018-11-08 |
| 1982144218 | Faith Elizabeth Roy | Case Manager/Care Coordinator | 2301 E Michigan Ave, Suite 219, Jackson, MI 49202-3700 | 2017-03-06 |
| 1811441769 | Bethel Homes LLC | Home Health | 2301 E Michigan Ave, 201, Jackson, MI 49202-3700 | 2016-08-09 |
| 1639521453 | Sarah Lynn Bartzen | Social Worker | 2301 E Michigan Ave, Suite 214, Jackson, MI 49202-3700 | 2016-07-05 |
| 1124467626 | Donna Marie Hantula | Registered Nurse | 2301 E Michigan Ave, Jackson, MI 49202-3700 | 2013-06-18 |
| 1396184131 | Michael Kenneth Thompson | Psychologist | 2301 E Michigan Ave, Jackson, MI 49202-3700 | 2013-06-14 |
| 1154661023 | Training and Treatment Innovations Inc | Community/Behavioral Health | 2301 E Michigan Ave, Suite 219, Jackson, MI 49202-3700 | 2013-02-28 |
| 1285752733 | Ruth Bel Genyk | Social Worker | 2301 E Michigan Ave, Suite105, Jackson, MI 49202-3700 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| 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 |
|---|---|---|---|---|
| 1700432754 | Encore Care Inc | Durable Medical Equipment & Medical Supplies | 55 N County Line Rd Ste 6, Jackson, NJ 08527-1394 | 2019-08-15 |
| 1720542855 | Jea Optical LLC | Durable Medical Equipment & Medical Supplies | 1200 N State St Ste 110, Jackson, MS 39202-2027 | 2019-01-23 |
| 1689142317 | 3 B Labs | Durable Medical Equipment & Medical Supplies | 3011 Greystone Sq, Jackson, TN 38305-3590 | 2018-11-12 |
| 1043726896 | Elite Medical Supply | Durable Medical Equipment & Medical Supplies | 1166 Greenway Dr Ste A3, Jackson, MO 63755-2919 | 2017-12-15 |
| 1124551205 | Quincy Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 5303 Old Cape Rd E Ste A, Jackson, MO 63755-3850 | 2017-04-06 |
| 1295277952 | G & N Enterprise, LLC | Durable Medical Equipment & Medical Supplies | 460 Briarwood Dr Ste 100, Jackson, MS 39206-3053 | 2016-11-12 |
| 1417305665 | J.u.s.t. Orthotics | Durable Medical Equipment & Medical Supplies | 1020 Aspen Dr, Jackson, MO 63755-1152 | 2016-05-27 |
| 1710332325 | Apex Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 189 N Lacey St, Suite 2, Jackson, MO 63755-2496 | 2016-05-02 |
| 1366800914 | Georgia Ophthalmologists LLC | Durable Medical Equipment & Medical Supplies | 860 W 3rd St, Jackson, GA 30233 | 2016-02-10 |
| 1285099192 | At-home Medical Supply | Durable Medical Equipment & Medical Supplies | 5015 I 55 N Ste B, Jackson, MS 39206-4306 | 2015-12-18 |
| Find all providers in JACKSON | ||||
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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.