Harbor Oxygen of Southeast Mi, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HARBOR OXYGEN OF SOUTHEAST MI, LLC

Practice address

29454 Haas Rd
Wixom, MI 48393-3022

Phone

(248) 446-6114

Fax

(248) 446-6115

NPI assigned

Sep 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Burrell

Title

President

Phone

(248) 446-6114

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255422010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29454 HAAS RD",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483933022",
            "telephone_number": "248-446-6114",
            "fax_number": "248-446-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29454 HAAS RD",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483933022",
            "telephone_number": "248-446-6114",
            "fax_number": "248-446-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR OXYGEN OF SOUTHEAST MI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-446-6114"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn William Grant, MS PT
• Sandra L Greenspan, PA
• Grounded in Grace Counseling PLLC
• Robert Lee Gustitus, DPT
• Farah Gabrial Hado, RPH
• Kira Elise Harris, PT
• Rolandia Harris, LMSW
• Gretchen Marie Hart, MA, LLP,LPC, CAADC
• Artenisa Hatija
• Health Net Connect Inc

• Durable Medical Equipment & Medical Supplies in Wixom, MI
• Providers in Wixom, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.