Bay Home Medical & Rehab Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BAY HOME MEDICAL & REHAB INC

Practice address

525 County Rd HQ
Marquette, MI 49855

Phone

(906) 225-1135

Fax

(906) 225-5035

NPI assigned

Sep 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Duane Rickeberg

Title

Operations Manager

Phone

(231) 933-1200

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Stephanie Woodaz Wautier, D.C.

  • Chiropractor
  • Marquette, MI
  • NPI 1609991967
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497741565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 PARSONS RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49686",
            "telephone_number": "231-933-1200",
            "fax_number": "231-933-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 COUNTY RD HQ",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-225-1135",
            "fax_number": "906-225-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY HOME MEDICAL & REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RICKEBERG",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "231-933-1200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0951920003",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "540B80747",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3124084",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annalise Bartol, LLMSW, CADC
• Delaney C Basala, LLBSW
• Jonathan Paul Bauers, ATC
• Christal Marie Baughman, LPC
• Deborah Kay Bauman, LMSW
• Heather Anne Baynard, LLMSW, CAADC, ADS
• Pamela Baynton
• Meghan Bazinette
• Matt Beachnau
• Russell Thomas Beaudry

• Durable Medical Equipment & Medical Supplies in Marquette, MI
• Providers in Marquette, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• 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.