NPIMap

Organization Active NPI

Jackson Home Medical Equipment, Inc.

Doing business as The Aumack Company

  • Durable Medical Equipment & Medical Supplies
  • Jackson, MI
National Provider Identifier
1356373153
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JACKSON HOME MEDICAL EQUIPMENT, INC.
Doing business as
The Aumack Company
Practice address
807 S Brown St
Jackson, MI 49203-1430
Phone
(517) 787-6910
Fax
(517) 782-8502
NPI assigned
Jul 6, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. April L. Modreski
Title
Director/Officer
Phone
(517) 787-6910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MI Primary

Addresses

Primary practice location

807 S Brown St
Jackson, MI 49203-1430

Mailing address

807 S Brown St
Jackson, MI 49203-1430
Phone (517) 787-6910

Other identifiers 7

IdentifierTypeStateIssuer
119550OtherMIGREAT LAKES HEALTH PLAN #
1208OtherMINORTHWOOD PROVIDER ID NUM
303472887MedicaidMI
540C81221OtherMIBCBS PROVIDER ID NUMBER
52543OtherMINORTHWOOD NPN PROVIDER ID
119550OtherMIGREAT LAKES HEALTH
3034728MedicaidMI

Other names 1

  • The Aumack Company Doing business as

National Provider Directory

National Provider Directory

Locations

807 S Brown St
Jackson, MI 49203
Phone (517) 787-6910

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356373153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S BROWN ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031430",
            "telephone_number": "517-787-6910",
            "fax_number": "517-782-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 S BROWN ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031430",
            "telephone_number": "517-787-6910",
            "fax_number": "517-782-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON HOME MEDICAL EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MODRESKI",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR/OFFICER",
        "authorized_official_telephone_number": "517-787-6910",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN #",
            "identifier": "119550",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWOOD PROVIDER ID NUM",
            "identifier": "1208",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303472887",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID NUMBER",
            "identifier": "540C81221",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWOOD NPN PROVIDER ID",
            "identifier": "52543",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH",
            "identifier": "119550",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3034728",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Aumack Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.