NPIMap

Organization Active NPI

Hackley Healthcare Equipment

Doing business as Mercy Health Healthcare Equipment

  • Oxygen Equipment & Supplies (DME)
  • Grand Rapids, MI
National Provider Identifier
1356764674
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
HACKLEY HEALTHCARE EQUIPMENT
Doing business as
Mercy Health Healthcare Equipment
Practice address
245 Cherry St SE
Ste 200
Grand Rapids, MI 49503-4607
Phone
(616) 685-5363
Fax
(616) 685-5365
NPI assigned
Jan 22, 2014
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
HACKLEY HEALTH VENTURESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Mr. Gary E Allore
Title
President Ceo
Phone
(231) 672-4888

Specialties & licenses 1

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

Addresses

Primary practice location

245 Cherry St SE
Ste 200
Grand Rapids, MI 49503-4607

Mailing address

1124 E Hackley Ave
Muskegon, MI 49444-1874
Phone (231) 672-4711

Other identifiers 1

IdentifierTypeStateIssuer
1640291MedicaidMI

Other names 1

  • Mercy Health Healthcare Equipment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hackley Healthcare Equipment5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1356764674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 E HACKLEY AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441874",
            "telephone_number": "231-672-4711",
            "fax_number": "231-722-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CHERRY ST SE",
            "address_2": "STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034607",
            "telephone_number": "616-685-5363",
            "fax_number": "616-685-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKLEY HEALTHCARE EQUIPMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HACKLEY HEALTH VENTURES",
        "enumeration_date": "2014-01-22",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "ALLORE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "231-672-4888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1640291",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Health Healthcare Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.