HACKLEY HEALTHCARE EQUIPMENT (NPI# 1700208444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700208444 |
| Entity Type | Organization |
| Organization Name | HACKLEY HEALTHCARE EQUIPMENT |
| Other Organization Name | MERCY HEALTH HEALTHCARE EQUIPMENT |
| Practice Address |
200 Jefferson Ave Se Grand Rapids MI 49503-4502 |
| Mailing Address |
1124 E Hackley Ave Muskegon MI 49444-1874 |
| Practice Telephone | 6166855335 |
| Practice Fax Number | 6166855325 |
| Mailing Telephone | 2316724711 |
| Mailing Fax Number | 2317222625 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MR. JOHN M BRYAN JR. (CEO) |
| Authorized Official Telephone | 2318613030 |
| Is Organization Subpart | Y |
| Parent Organization Name | HACKLEY HEALTH VENTURES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
========= | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1640291 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Health Healthcare Equipment | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356764674 | Hackley Healthcare Equipment | Durable Medical Equipment & Medical Supplies | 245 Cherry St Se, Ste 200, Grand Rapids, MI 49503-4607 | 2014-01-22 |
| 1568885895 | Hackley Healthcare Equipment | Durable Medical Equipment & Medical Supplies | 1700 Oak Ave, 2nd Floor, Muskegon, MI 49442-2407 | 2014-01-22 |
| 1508970104 | Hackley Healthcare Equipment | Durable Medical Equipment & Medical Supplies | 6401 Prairie St, Suite 1100, Muskegon, MI 49444-7840 | 2006-08-19 |
| Street Address |
200 JEFFERSON AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929353 | Grand River Emergency Medical Group Plc | Emergency Medicine | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2005-06-01 |
| 1073130449 | Jessica Goldsworthy | Pharmacist | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-07-01 |
| 1851918551 | Lacy J Worden | Pharmacist | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-06-29 |
| 1669099560 | Kamah Ellena | Pharmacist | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-06-26 |
| 1629694344 | Yoad Yechiel Porat | Anesthesiology | 200 Jefferson Ave Se, Jefferson Suite 305, Grand Rapids, MI 49503 | 2020-06-18 |
| 1851917587 | Danuka Manupriya Ubayasena | Anesthesiology | 200 Jefferson Ave Se, Jefferson Suite 305, Grand Rapids, MI 49503 | 2020-06-18 |
| 1619593530 | Albert Dongzhou Jiao | Radiology | 200 Jefferson Ave Se, Jefferson Suite 360, Grand Rapids, MI 49503 | 2020-06-17 |
| 1548882046 | Rebecca Tourison | Registered Nurse | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-05-07 |
| 1942821079 | Breanne Nicole Ranucci | Physician Assistant | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-04-29 |
| 1750901757 | Nicholas Patrick Callahan | Registered Nurse | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1720623804 | Air-caire Home Medical Equipment and Supplies Inc | Durable Medical Equipment & Medical Supplies | 3554 Alpine Ave Nw, Grand Rapids, MI 49544-1659 | 2019-11-12 |
| 1952485435 | Pulmonary Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 5150 Plainfield Ave Ne, Grand Rapids, MI 49525-1049 | 2006-10-24 |
| 1356764674 | Hackley Healthcare Equipment | Durable Medical Equipment & Medical Supplies | 245 Cherry St Se, Ste 200, Grand Rapids, MI 49503-4607 | 2014-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084174 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 2675 44th St Sw Ste 208, Wyoming, MI 49519-6834 | 2020-08-18 |
| 1215549720 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 44201 Dequindre Rd Ste 222, Troy, MI 48085-1117 | 2020-08-18 |
| 1700407368 | Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 11930 Whitmore Lake Rd Ste C, Whitmore Lake, MI 48189-9153 | 2020-05-05 |
| 1245860899 | American Home Health Care, Inc. | Durable Medical Equipment & Medical Supplies | 24782 Forterra Dr, Warren, MI 48089-4375 | 2020-01-23 |
| 1285118976 | Compass Medical Equipment | Durable Medical Equipment & Medical Supplies | 28035 Southfield Rd Ste 104, Lathrup Village, MI 48076-2858 | 2018-09-19 |
| 1134605298 | Advanced Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 9740 Conant St Ste 4, Hamtramck, MI 48212 | 2018-07-12 |
| 1588162168 | Valerie Bzeih Iatrics Medical Supplies and Equipment | Durable Medical Equipment & Medical Supplies | 7243 Reuter St, Dearborn, MI 48126-1545 | 2018-01-29 |
| 1649798901 | Patient Choice Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2075 Fort St Ste 101a, Lincoln Park, MI 48146-2191 | 2017-09-06 |
| 1467903005 | Specialized Homecare Inc | Durable Medical Equipment & Medical Supplies | 3125 Sovereign Dr Ste 9e, Lansing, MI 48911-4240 | 2016-10-19 |
| 1417400433 | Integra Healthcare Equipment of Michigan, LLC | Durable Medical Equipment & Medical Supplies | 28339 Beck Rd, Ste F5, Wixom, MI 48393-4753 | 2016-07-26 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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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.