Organization Active NPI

Sobaks Home Medical Inc

  • Oxygen Equipment & Supplies (DME)
  • Owosso, MI
National Provider Identifier
1598755837
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
SOBAKS HOME MEDICAL INC
Practice address
112 W Exchange St
Owosso, MI 48867-2816
Phone
(989) 723-8927
Fax
(989) 723-5732
NPI assigned
Oct 27, 2005
Last updated
Jan 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Mr. Steven Benger Sobak
Title
President
Phone
(989) 723-8927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

112 W Exchange St
Owosso, MI 48867-2816

Mailing address

112 W Exchange St
Owosso, MI 48867-2816
Phone (989) 723-8927

Other identifiers 1

IdentifierTypeStateIssuer
3102873MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930027623 MI DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 0244350932 Practice locations: Owosso, MI

Other NPIs with the same Medicare PAC ID 2

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
Sobaks Home Medical Inc112 W Exchange St, Owosso, MI 48867-2816(989) 723-8927 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Ma… Does not accept assignmentParticipating since Jan 1, 2000

National Provider Directory

National Provider Directory
Tax ID family
Sobaks 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.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1598755837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W EXCHANGE ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672816",
            "telephone_number": "989-723-8927",
            "fax_number": "989-723-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W EXCHANGE ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672816",
            "telephone_number": "989-723-8927",
            "fax_number": "989-723-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBAKS HOME MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "SOBAK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "BENGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-723-8927",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3102873",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.