Bay Home Medical & Rehab, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

BAY HOME MEDICAL & REHAB, INC.

Practice address

707 Parsons Rd
Traverse City, MI 49686-3587

Phone

(231) 933-1200

Fax

(231) 933-4402

NPI assigned

Sep 2, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Timothy M Keller, CRTS

Title

Owner/Operator

Phone

(231) 933-1200

Specialties & licenses 2

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1063406189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 PARSONS RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863587",
            "telephone_number": "231-933-1200",
            "fax_number": "231-933-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PARSONS RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863587",
            "telephone_number": "231-933-1200",
            "fax_number": "231-933-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY HOME MEDICAL & REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "231-933-1200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRTS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3124084",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "540B80747",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bay Chiropractic and Massage
• Bay Home Health Care, LLC
• Bay Point Family Care, PLLC
• Bay Psychological Services
• Bay Ridge Assisted Living Center
• Bayshore Hand Rehabilitation
• Bayside Allergy, P.C.

• Customized Equipment (DME) in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.