Organization Active NPI

Kenric Inc.

  • Oxygen Equipment & Supplies (DME)
  • Bay City, MI
National Provider Identifier
1316729395
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
KENRIC INC.
Practice address
5964 2 Mile Rd Ste C
Bay City, MI 48706-3173
Phone
(989) 280-3049
Fax
(989) 439-1982
NPI assigned
Oct 16, 2023
Last updated
Nov 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Kenny Lask
Title
Cfo/Co Ceo
Phone
(989) 415-5847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

5964 2 Mile Rd Ste C
Bay City, MI 48706-3173

Mailing address

4106 Wilder Rd # 357
Bay City, MI 48706-2239
Phone (989) 415-5847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240524000192 MI DME Supplier - Oxygen & Equipment 7911349774 Practice locations: Bay City, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Kenric Inc5964 2 Mile Rd, Bay City, MI 48706-3173(989) 280-3049 Continuous Positive Airway Pressure (CPAP) Devices|Mechanical In-Exsufflation Devices|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplies|Respiratory Assist Devices Does not accept assignmentParticipating since Oct 18, 2024

National Provider Directory

National Provider Directory

Locations

4106 Wilder Rd
Bay City, MI 48706
Phone (989) 402-5275

5964 2 Mile Rd
#C
Bay City, MI 48706
Phone (989) 280-3049

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1316729395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 WILDER RD # 357",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062239",
            "telephone_number": "989-415-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5964 2 MILE RD STE C",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063173",
            "telephone_number": "989-280-3049",
            "fax_number": "989-439-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENRIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "LASK",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "CFO/CO CEO",
        "authorized_official_telephone_number": "989-415-5847"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.