PASSPORT HOMECARE, INC (NPI# 1760478986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760478986 |
| Entity Type | Organization |
| Organization Name | PASSPORT HOMECARE, INC |
| Practice Address |
2611 Woodcreek Ln Davisburg MI 48350-2140 |
| Practice Telephone | 2483436985 |
| Practice Fax Number | 2483288065 |
| Mailing Telephone | 2483436985 |
| Mailing Fax Number | 2483288065 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2011-02-22 |
| Authorized Official Name | MRS. REBECCA E COMSTOCK (BILLING / ADMINISTRATIVE MANAGER) |
| Authorized Official Telephone | 2483436985 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | ========= | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS OF MI | 540F31023 | 01 |
| MI | 2965362 | 05 |
| Street Address |
2611 WOODCREEK LN |
| City | DAVISBURG |
| State | MI |
| Zip Code | 48350-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720283856 | Mark Allen Dennis | Dentist | 16104 Dixie Hwy, Davisburg, MI 48350 | 2007-06-19 |
| 1497848121 | William Sophiea | Psychologist | 6887 Dixie, Hwy, Clarkston, MI 48350 | 2006-10-02 |
| 1376641803 | Bonnie Sue Blanzy | Counselor | 12850 Fountain Sq., Ste. 106, Davisburg, MI 48350 | 2006-09-20 |
| 1194207548 | Christopher Elliot | Nurse Practitioner | 6690 Rolling Meadow Dr, Davisburg, MI 48350 | 2018-09-02 |
| 1841384328 | Elise Finch-sophiea | Social Worker | 6887 Dixie Hwy, Clarkston, MI 48350 | 2006-10-02 |
| 1063520435 | Pine Knob Pharmacy 5 Inc | Pharmacy | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2006-08-27 |
| 1174866982 | North Oakland Family Medical, PC | General Practice | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2013-03-29 |
| 1538464953 | Ramla Shahab Moghul | Family Medicine | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2011-01-15 |
| 1881836435 | Opdyke Diagnostic Center Plc | Specialist | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2009-03-28 |
| 1598933772 | Pine Knob Pharmacy #5 | Durable Medical Equipment & Medical Supplies | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2008-02-11 |
| Find all providers in zip 48350 | ||||
| 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 |
|---|---|---|---|---|
| 1598933772 | Pine Knob Pharmacy #5 | Durable Medical Equipment & Medical Supplies | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2008-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972103257 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 555 Towner St Ste 1120d, Ypsilanti, MI 48198-5723 | 2020-10-27 |
| 1336747336 | Wheelchairs Outlet | Durable Medical Equipment & Medical Supplies | 5506 Maplebrook Ln, Flint, MI 48507-4160 | 2020-10-12 |
| 1205449543 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 608 Wright Ave Rm 106, Alma, MI 48801-1617 | 2020-08-26 |
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
| 1457979858 | American Dental Care Lab LLC | Durable Medical Equipment & Medical Supplies | 9209 N Island Ct, Flushing, MI 48433-2934 | 2020-07-12 |
| 1013535178 | Karmen Industries LLC | Durable Medical Equipment & Medical Supplies | 4225 Tanglewood Trl, Saint Joseph, MI 49085-9647 | 2020-07-06 |
| 1972126126 | Boss and Rorvik Family Dental, Pllc | Durable Medical Equipment & Medical Supplies | 1504 Harcrest Dr Ste 2, Midland, MI 48640-4717 | 2020-05-22 |
| 1720600463 | Milk Moves LLC | Durable Medical Equipment & Medical Supplies | 18032 James Couzens Fwy, Detroit, MI 48235-2646 | 2020-05-15 |
| 1225658818 | Aen Sports, LLC | Durable Medical Equipment & Medical Supplies | 40417 Beechwood Ct, Northville, MI 48168-3418 | 2020-04-23 |
| 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.