Organization Active NPI

Home Infusion Services Inc

  • Home Infusion Therapy Pharmacy
  • Benton Harbor, MI
National Provider Identifier
1114972106
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
5301005592 Issued in MI
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

Updated by the provider on Apr 28, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2349644OtherNCPDP PROVIDER IDENTIFICATION NUMBER
2742474MedicaidMI

Other names 1

  • LAKELAND HOME INFUSION SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.