Organization Active NPI

Blueprint Home Healthcare Corp.

  • Durable Medical Equipment & Medical Supplies
  • Ann Arbor, MI
National Provider Identifier
1578846028
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BLUEPRINT HOME HEALTHCARE CORP.
Practice address
2723 S State St
Suite 150
Ann Arbor, MI 48104-6188
Phone
(888) 572-5541
Fax
(888) 706-1606
NPI assigned
Sep 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Mr. Travar Pettway
Title
President
Phone
(888) 368-0007

Specialties & licenses 1

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

Addresses

Primary practice location

2723 S State St
Suite 150
Ann Arbor, MI 48104-6188

Mailing address

PO Box 871314
Canton, MI 48187-6314
Phone (888) 368-0007

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1578846028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871314",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481876314",
            "telephone_number": "888-368-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 S STATE ST",
            "address_2": "SUITE 150",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046188",
            "telephone_number": "888-572-5541",
            "fax_number": "888-706-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEPRINT HOME HEALTHCARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "PETTWAY",
        "authorized_official_first_name": "TRAVAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-368-0007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.