NPIMap

Organization Active NPI

Specialized Homecare Inc

  • Oxygen Equipment & Supplies (DME)
  • Lansing, MI
National Provider Identifier
1467903005
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
SPECIALIZED HOMECARE INC
Practice address
4103 Grand Oak Dr Ste B111
Lansing, MI 48911-7406
Phone
(517) 882-3000
Fax
(517) 882-3013
NPI assigned
Oct 19, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Carlia Cichon
Title
President
Phone
(877) 944-9800

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Specialized Homecare Inc4103 Grand Oak Dr, Lansing, MI 48911-7404(517) 882-3000 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|… Does not accept assignmentParticipating since Aug 3, 2004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170214002424 MI DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Medical Supply Company 8628287604 Practice locations: Lansing, MI

National Provider Directory

National Provider Directory
Tax ID family
Specialized Homecare 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.

Member organizations 9

Organizations listed as members of this organization in the National Provider Directory.

Locations

291 Collier Rd
Auburn Hills, MI 48326
Phone (877) 944-9800

3125 Sovereign Dr
Ste 9E
Lansing, MI 48911
Phone (517) 882-3000

4103 Grand Oak Dr
Ste B111
Lansing, MI 48911
Phone (517) 882-3000

25179 Dequindre Rd
Madison Heights, MI 48071
Phone (877) 944-9800

3890 Charlevoix Rd
Ste 160
Petoskey, MI 49770
Phone (231) 753-2700

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

4103 Grand Oak Dr Ste B111
Lansing, MI 48911-7406

Mailing address

1535 Highwood E
Pontiac, MI 48340-1234
Phone (877) 944-9800

Other names 1

NPPES NPI Registry
  • Advent Home Medical Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2023.

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1467903005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 HIGHWOOD E",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483401234",
            "telephone_number": "877-944-9800",
            "fax_number": "248-409-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 GRAND OAK DR STE B111",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489117406",
            "telephone_number": "517-882-3000",
            "fax_number": "517-882-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "CICHON",
        "authorized_official_first_name": "CARLIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-944-9800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advent Home Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advent Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

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