Organization Active NPI

Huron Valley Home-Care Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Highland, MI
National Provider Identifier
1629156773
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HURON VALLEY HOME-CARE SUPPLY INC
Practice address
2461 E Highland Rd
Highland, MI 48356-2723
Phone
(248) 887-6608
Fax
(248) 887-5317
NPI assigned
Nov 2, 2006
Last updated
Sep 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Douglas Paul Tarchalski
Title
President
Phone
(248) 887-6608

Specialties & licenses 1

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

Addresses

Primary practice location

2461 E Highland Rd
Highland, MI 48356-2723

Mailing address

2461 E Highland Rd
Highland, MI 48356-2723
Phone (248) 887-6608

Other identifiers 2

IdentifierTypeStateIssuer
540F03492OtherMIBCBS ID NUMBER
5090637MedicaidMI

National Provider Directory

National Provider Directory

Locations

2461 E Highland Rd
Highland, MI 48356
Phone (248) 887-6608

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1629156773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 E HIGHLAND RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562723",
            "telephone_number": "248-887-6608",
            "fax_number": "248-887-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2461 E HIGHLAND RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562723",
            "telephone_number": "248-887-6608",
            "fax_number": "248-887-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURON VALLEY HOME-CARE SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "TARCHALSKI",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-887-6608"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "540F03492",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5090637",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.