Active NPI
Home Infusion Services Inc
- Home Infusion Therapy Pharmacy
- Benton Harbor, MI
National Provider Identifier
1114972106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- 5301005592
- Legal business name
- HOME INFUSION SERVICES INC
- Doing business as
- LAKELAND HOME INFUSION SERVICES
- Practice address
- 2550 Meadowbrook Rd Ste 106
Benton Harbor, MI 49022-9609 - Phone
- (269) 985-4422
- Fax
- (269) 982-0224
- NPI assigned
- May 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Effa, RN, MBA
- Title
- Division Director
- Phone
- (269) 985-4441
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | 5301005592 | MI | Primary |
Addresses
Primary practice location
2550 Meadowbrook Rd Ste 106
Benton Harbor, MI 49022-9609
Mailing address
PO Box 813
Saint Joseph, MI 49085-0813
Phone (269) 985-4422
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2349644 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 2742474 | Medicaid | MI |
Other names 1
- LAKELAND HOME INFUSION SERVICES
National Provider Directory
National Provider DirectoryLocations
2550 Meadowbrook Rd
Ste 106
Benton Harbor, MI 49022
Phone (269) 985-4422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303948800000",
"number": "1114972106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 813",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490850813",
"telephone_number": "269-985-4422",
"fax_number": "269-985-4423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 MEADOWBROOK RD STE 106",
"city": "BENTON HARBOR",
"state": "MI",
"postal_code": "490229609",
"telephone_number": "269-985-4422",
"fax_number": "269-982-0224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME INFUSION SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2011-04-28",
"status": "A",
"authorized_official_last_name": "EFFA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "DIVISION DIRECTOR",
"authorized_official_telephone_number": "269-985-4441",
"authorized_official_credential": "RN, MBA"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "MI",
"license": "5301005592",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "2349644",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2742474",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LAKELAND HOME INFUSION SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Benton Harbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.