Organization Active NPI

Homedco Inc

  • Oxygen Equipment & Supplies (DME)
  • Allen Park, MI
National Provider Identifier
1386850980
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
HOMEDCO INC
Practice address
6852 Allen Rd
Allen Park, MI 48101-2008
Phone
(313) 386-0224
Fax
(313) 386-0225
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Mohamed Elhasan, OTRNPI 1396247821
Title
Owner
Phone
(313) 386-0224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6852 Allen Rd
Allen Park, MI 48101-2008

Mailing address

6852 Allen Rd
Allen Park, MI 48101-2008
Phone (313) 386-0224

Other identifiers 2

IdentifierTypeStateIssuer
540H227740OtherMIBCBSM
4845274MedicaidMI

National Provider Directory

National Provider Directory

Locations

6852 Allen Rd
MI 48101

6852 Allen Rd
Allen Park, MI 48101
Phone (313) 386-0224

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1386850980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6852 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012008",
            "telephone_number": "313-386-0224",
            "fax_number": "313-386-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6852 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012008",
            "telephone_number": "313-386-0224",
            "fax_number": "313-386-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEDCO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "ELHASAN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-386-0224",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "540H227740",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4845274",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.