Great Lakes Home Medical Equipment, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

GREAT LAKES HOME MEDICAL EQUIPMENT, INC.

Practice address

14200 E 11 Mile Rd
Warren, MI 48089-1467

Phone

(586) 779-3494

Fax

(586) 779-5474

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Irfan Mahmood

Title

President

Phone

(586) 779-3494

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1184837528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 E 11 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891467",
            "telephone_number": "586-779-3494",
            "fax_number": "586-779-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 E 11 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891467",
            "telephone_number": "586-779-3494",
            "fax_number": "586-779-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES HOME MEDICAL EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-779-3494",
        "authorized_official_name_prefix": "Mr."
    },
    "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": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2995414",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Graves
• Jessica Gray
• Derek Grayson, M.D.
• Great Lakes Family Dental Group-Warren, P.C.
• Great Lakes Home Health Care , LLC
• Great Lakes Medical Center PC
• Great Lakes Medical Pharmacy LLC
• Great Lakes Medical Supply LLC
• Great Lakes MRI of Michigan LLC
• Great Lakes Pediatrics

• Oxygen Equipment & Supplies (DME) in Warren, MI
• Providers in Warren, MI by specialty
• Oxygen Equipment & Supplies (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.