SPECIALIZED HOMECARE INC (NPI# 1811304314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811304314 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED HOMECARE INC |
| Practice Address |
4039 40th St Se Ste 3 Kentwood MI 49512-4123 |
| Mailing Address |
1535 Highwood E Pontiac MI 48340-1234 |
| Practice Telephone | 6165759281 |
| Practice Fax Number | 6165759282 |
| Mailing Telephone | 8779449800 |
| Mailing Fax Number | 2484090403 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2018-02-05 |
| Authorized Official Name | CARLIA CICHON (OWNER) |
| Authorized Official Telephone | 8779449800 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECIALIZED HOMECARE ADVENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 87-4667092 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467903005 | Specialized Homecare Inc | Durable Medical Equipment & Medical Supplies | 3125 Sovereign Dr Ste 9e, Lansing, MI 48911-4240 | 2016-10-19 |
| 1720495229 | Specialized Homecare Inc | Durable Medical Equipment & Medical Supplies | 3890 Charlevoix Ave Ste 160, Petoskey, MI 49770-8420 | 2014-07-16 |
| 1073680799 | Specialized Homecare Inc | Durable Medical Equipment & Medical Supplies | 1535 Highwood E, Pontiac, MI 48340-1234 | 2006-11-29 |
| Street Address |
4039 40TH ST SE STE 3 |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49512-4123 |
| 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 | 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 |
|---|---|---|---|---|
| 1619266491 | Zylstra Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 1998 44th St Se, Kentwood, MI 49508-5049 | 2011-04-01 |
| 1942524459 | George R Haynes | Durable Medical Equipment & Medical Supplies | 3382 Pine Meadow Dr Se, Unit 101, Kentwood, MI 49512-3056 | 2010-03-26 |
| 1346419892 | Kentwood Pharmacy | Durable Medical Equipment & Medical Supplies | 2480 44th St Se, Kentwood, MI 49512-9090 | 2008-02-28 |
| 1952584070 | West Michigan Family Footcare Plc | Durable Medical Equipment & Medical Supplies | 4635 44th St Se, Suite C150, Kentwood, MI 49512-4127 | 2007-12-12 |
| 1891853396 | Hill-rom Company, Inc | Durable Medical Equipment & Medical Supplies | 4112 40th Street, Kentwood, MI 49508 | 2006-12-05 |
| 1447260591 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 4410 South Division Avenue, Kentwood, MI 49548-4305 | 2006-08-09 |
| 1982614418 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 5995 Kalamazoo Avenue Southeast, Kentwood, MI 49508-6464 | 2006-08-08 |
| 1700893799 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6020 Kalamazoo Ave Se, Kentwood, MI 49508-7018 | 2006-08-02 |
| 1619982725 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2425 44th St Se, Kentwood, MI 49512-3878 | 2006-07-29 |
| 1093732216 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4326 28th St Se, Kentwood, MI 49512-1908 | 2006-07-16 |
| Find all providers in KENTWOOD | ||||
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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.