KABAFUSION MI, LLC (NPI# 1689737066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689737066 |
| Entity Type | Organization |
| Organization Name | KABAFUSION MI, LLC |
| Other Organization Name | KABAFUSION MI, LLC |
| Practice Address |
3631 44th St Se Ste. C Kentwood MI 49512-3971 |
| Mailing Address |
80 Hayden Ave Ste 300 Lexington MA 02421-7962 |
| Practice Telephone | 6165543530 |
| Practice Fax Number | 6165546171 |
| Mailing Telephone | 8004353020 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | SOHAIL MASOOD (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 8004353020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| KabaFusion MI, LLC | Doing Business As Name - Organization |
| Street Address |
3631 44TH ST SE STE. C |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49512-3971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851542161 | Hbc Infusion Services LLC | Pharmacy | G 4433 Miller Rd, Ste 101, Flint, MI 48507 | 2008-10-06 |
| 1427250448 | Diplomat Pharmacy, Inc | Pharmacy | 4100 S Saginaw St, Flint, MI 48507 | 2007-06-01 |
| 1497875116 | Alert Infusion Services Inc | Pharmacy | 30825 Greenfield Rd, Southfield, MI 48076-1595 | 2007-03-29 |
| 1275612855 | Shasam Drugs PC | Pharmacy | 8501 Main St, Birch Run, MI 48415-7734 | 2006-11-03 |
| 1164526125 | Prescription Giant LLC | Pharmacy | 4121 Clear Spring Ct, Shelby Township, MI 48316-4028 | 2006-09-12 |
| 1942303110 | Walgreens Specialty Pharmacy LLC | Pharmacy | 41460 Haggerty Cir S, Canton, MI 48188 | 2006-09-06 |
| 1710933007 | Accredo Health Group Inc | Pharmacy | 39625 Lewis Dr, Ste 800, Novi, MI 48377-2972 | 2006-05-26 |
| 1316924061 | Henry Ford Health System | Pharmacy | 21298 Melrose Ave, Southfield, MI 48075-7901 | 2005-12-23 |
| 1669098398 | Optimed Health Partners Inc | Pharmacy | 6480 Technology Ave Ste A, Kalamazoo, MI 49009-8126 | 2020-06-18 |
| 1427412394 | Executive Infusion Services LLC | Pharmacy | 17000 Executive Plaza Dr, Suite 201-a, Dearborn, MI 48126-2793 | 2016-04-07 |
| Find all providers with the same taxonomy | ||||
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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.