Care Source, Inc
Organization Active NPI Oxygen Equipment & Supplies (DME) · Muskegon Heights, MI
NPI 1164520086 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1164520086
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oxygen Equipment & Supplies (DME) 332BX2000X
- Legal business name
- CARE SOURCE, INC
- Practice address
- 96 S Seaway Dr
Muskegon Heights, MI 49444-3841 - Phone
- (231) 739-3436
- Fax
- (231) 739-3367
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Mitchell Roy Moore
- Title
- GM
- Phone
- (616) 957-1490
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Care Source Inc Dba Met
Locations
96 S Seaway Dr
Norton Shores, MI 49444
Phone (231) 739-3436
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | MI | Yes |
Addresses
Primary practice location
96 S Seaway Dr
Muskegon Heights, MI 49444-3841
Mailing address
96 S Seaway Dr
Muskegon Heights, MI 49444-3841
Phone (231) 739-3436
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1883950 | Medicaid | MI |
Other names
- Metron Health Care Products
Other providers in Muskegon Heights, MI
- Darryl Bryson
- Rebecca L Burr
- Derrick Aaron Burris
- Jacob Bylsma
- Elizabeth Claire Caplis
- Amanda Chapman
- Anthony Charles Combs
- Terri Cowles
- Ebony Davis
- Robert Douglas Diamond
All providers in Muskegon Heights, MI · Oxygen Equipment & Supplies (DME) in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.