Organization Active NPI

Mitchell Home Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Brighton, MI
National Provider Identifier
1558456301
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MITCHELL HOME MEDICAL, INC.
Practice address
455 E Grand River Ave
Ste 206
Brighton, MI 48116-1551
Phone
(810) 229-9200
Fax
(810) 229-9260
NPI assigned
Oct 4, 2006
Last updated
Feb 18, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ANN ARBOR WELDING SUPPLY CO., INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 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
Phone
(734) 572-0203

Specialties & licenses 1

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

Addresses

Primary practice location

455 E Grand River Ave
Ste 206
Brighton, MI 48116-1551

Mailing address

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

National Provider Directory

National Provider Directory

Locations

3810 Packard St
Ste 200A
Ann Arbor, MI 48108

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1558456301",
    "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": "455 E GRAND RIVER AVE",
            "address_2": "STE 206",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161551",
            "telephone_number": "810-229-9200",
            "fax_number": "810-229-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL HOME MEDICAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANN ARBOR WELDING SUPPLY CO., INC.",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "MICHALUK",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-572-0203",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.