BRONSON AT HOME (NPI# 1689655029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689655029 |
Entity Type | Organization |
Organization Name | BRONSON AT HOME |
Other Organization Name | LIFESPAN, INC |
Practice Address |
5161 B Dr S Battle Creek MI 49015-9345 |
Mailing Address |
601 John St Box 42 Kalamazoo MI 49007-5341 |
Practice Telephone | 2696603600 |
Practice Fax Number | 2696603760 |
Mailing Telephone | 2693417806 |
Enumeration Date | 2005-11-11 |
Last Update Date | 2020-09-16 |
Authorized Official Name | REBECCA EAST (VP, BRONSON AT HOME) |
Authorized Official Telephone | 2693416000 |
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 | 4089927 | 05 | |
MI | DME BCBS PROVIDER | OA30306 | 01 |
Other Name | Type Code |
---|---|
Lifespan, Inc | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013476670 | Bronson At Home | Durable Medical Equipment & Medical Supplies | 7890 Oakland Dr, Portage, MI 49024-4936 | 2019-03-13 |
1407324643 | Bronson At Home | Registered Nurse | 601 John St Ste M431, Kalamazoo, MI 49007-5341 | 2018-11-06 |
1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
1689862518 | Bronson At Home | Home Health | 166 E Goodale Ave, Battle Creek, MI 49037-2728 | 2007-10-04 |
1376524090 | Bronson At Home | Home Health | 165 Washington Ave N, Battle Creek, MI 49037-2929 | 2005-11-09 |
1992896104 | Bronson At Home | In Home Supportive Care | 165 Washington Ave N, Battle Creek, MI 49037-2929 | 2006-09-27 |
1659353662 | Bronson At Home | Durable Medical Equipment & Medical Supplies | 165 Washington Ave N, Battle Creek, MI 49037-2929 | 2005-11-16 |
1306828504 | Bronson At Home | Hospice Care, Community Based | 165 Washington Ave N, Battle Creek, MI 49037-2929 | 2005-11-15 |
Street Address |
5161 B DR S |
City | BATTLE CREEK |
State | MI |
Zip Code | 49015-9345 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003299272 | Jessica L Cotton | Registered Nurse | 5161 B Dr S, Suite A, Battle Creek, MI 49015-9345 | 2015-07-06 |
1578838009 | Lori Kirk | Nurse Practitioner | 5161 B Dr S, Battle Creek, MI 49015-9345 | 2012-03-16 |
1437442019 | Battle Creek Center for Sleep Health LLC | Clinic/Center | 5161 B Dr S, Battle Creek, MI 49015-9345 | 2011-05-16 |
1437344587 | Kyle W Ploehn | Physician Assistant | 5161 B Dr S, Suite A, Battle Creek, MI 49015-9345 | 2007-09-12 |
1235258914 | Karen Sue Judd | Nurse Practitioner | 5161 B Dr S, Suite A, Battle Creek, MI 49015-9345 | 2007-03-27 |
1548389224 | Patricia Joy Thompson | Nurse Practitioner | 5161 B Dr S, Suite A, Battle Creek, MI 49015-9345 | 2007-03-27 |
1215042726 | Lung Center, P.C. | Family Medicine | 5161 B Dr S, Suite A, Battle Creek, MI 49015-9345 | 2006-08-21 |
1821103359 | Center for Sleep Health, LLC | Internal Medicine | 5161 B Dr S, Suite A, Battle Creek, MI 49015-9345 | 2006-08-21 |
1558322933 | Nadine F Potempa | Internal Medicine | 5161 B Dr S, Suite A, Battle Creek, MI 49015-9345 | 2006-03-28 |
1457311300 | Satya B Chaparala | Internal Medicine | 5161 B Dr S, Suite A, Battle Creek, MI 49015-9345 | 2006-03-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669020897 | Marcia Diane Alvarez | Technician | 515 Country Club Blvd, Battle Creek, MI 49015 | 2019-08-30 |
1508382540 | Ariel Lynn Jurban | Social Worker | 778 West Columbia Avenue, Battle Creek, MI 49015 | 2017-08-22 |
1780139543 | Cardiovascular Ultrasound Solutions, LLC | Spec/Tech, Cardiovascular | 77 South 20th Street, Cardio Suite, Battle Creek, MI 49015 | 2016-08-22 |
1487006953 | Ryan Lash | Hearing Instrument Specialist | 5475 Beckley Rd Suite 150, Battle Creek, MI 49015 | 2016-07-08 |
1962867150 | Lee Taylor Kuhn | Social Worker | 778 W. Columbia Ave, Battle Creek, MI 49015 | 2015-12-15 |
1306212022 | Teresa Wagner | Licensed Practical Nurse | 131 E Columbia Ave., Suite 115, Battle Creek, MI 49015 | 2015-08-17 |
1194101311 | Brittany Rene Kruger | Legal Medicine | 75 Mines Creek Pl, Battle Creek, MI 49015 | 2015-08-11 |
1164807103 | Timothy Meyer | Social Worker | 778 W Columbia Ave, Battle Creek, MI 49015 | 2015-07-20 |
1932534872 | Meggan Rae Volz | Physician Assistant | 5332 Beckly Road, Battle Creek, MI 49015 | 2013-09-11 |
1578902235 | Luiz Fernando Pantalena | Dentist | 2245 W. Columbia Ave, Suite 101, Battle Creek, MI 49015 | 2013-06-17 |
Find all providers in zip 49015 |
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 |
---|---|---|---|---|
1659738821 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 2845 Capital Ave Sw Ste 115, Battle Creek, MI 49015-4186 | 2016-01-19 |
1265605885 | Freedom Motors Usa Inc. | Durable Medical Equipment & Medical Supplies | 740 Watkins Rd, Battle Creek, MI 49015-8695 | 2008-04-03 |
1922278209 | Charles William Wentworth, Dpm | Durable Medical Equipment & Medical Supplies | 359 W Territorial Rd, Battle Creek, MI 49015 | 2008-03-03 |
1629255112 | Lamours Drug LLC | Durable Medical Equipment & Medical Supplies | 1391 Michigan Ave E, Battle Creek, MI 49014-8901 | 2008-01-28 |
1295927259 | Southwest Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 393 E Roosevelt Ave, Battle Creek, MI 49017-3333 | 2007-08-14 |
1417174962 | Medical Equipment Services, LLC | Durable Medical Equipment & Medical Supplies | 1550 Meachem Rd, Battle Creek, MI 49017-7811 | 2007-04-19 |
1295855443 | Marketplus Software Incorporated | Durable Medical Equipment & Medical Supplies | 2821 Wilbur Avenue, Battle Creek, MI 49037 | 2007-03-30 |
1912046111 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 2191 Columbia Ave W, Battle Creek, MI 49015-2847 | 2007-02-05 |
1225182959 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4909 Wayne Rd, Battle Creek, MI 49037-7323 | 2007-01-22 |
1407966310 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 600 North Avenue, Battle Creek, MI 49017-3249 | 2006-08-30 |
Find all providers in BATTLE CREEK |
City | BATTLE CREEK |
Zip Code | 49015 |
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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.