Organization Active NPI

Mitchell Home Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Fremont, OH
National Provider Identifier
1457440232
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1491125 Issued in OH
Legal business name
MITCHELL HOME MEDICAL INC
Practice address
1900 W State St
Fremont, OH 43420-1638
Phone
(734) 572-0203
NPI assigned
Oct 12, 2006
Reactivated
May 7, 2008
Organization subpart
Yes
Parent organization
ANN ARBOR WELDING SUPPLY CO INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Mitchell W Michaluk III
Title
President Owner
Phone
(734) 572-0203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1491125 OH Primary

Addresses

Primary practice location

1900 W State St
Fremont, OH 43420-1638

Mailing address

4811 Carpenter Rd
Ypsilanti, MI 48197-9609
Phone (734) 572-0203

National Provider Directory

National Provider Directory
Tax ID family
Mitchell Home Medical Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1900 W State St
Fremont, OH 43420
Phone (419) 355-9760

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1457440232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 CARPENTER RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979609",
            "telephone_number": "734-572-0203",
            "fax_number": "734-572-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W STATE ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434201638",
            "telephone_number": "734-572-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL HOME MEDICAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANN ARBOR WELDING SUPPLY CO INC",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-05-07",
        "deactivation_date": "2008-04-15",
        "reactivation_date": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "MICHALUK",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "734-572-0203",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "1491125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.