Kabafusion of Mi, LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

KABAFUSION OF MI, LLC

Practice address

3631 44TH St SE
Ste. C
Kentwood, MI 49512-3971

Phone

(866) 576-0326

Fax

(616) 554-6171

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sohail Masood, PHARM. D.

Title

President

Phone

(800) 435-3020

Specialties & licenses 7

Addresses

Other names 1

• KabaFusion MI Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Home infusion therapy

Medicare-enrolled home infusion therapy supplier

Enrollment records 2

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Complete Infusion Services, LLC

  • Home Infusion Therapy Pharmacy
  • Novi, MI
  • NPI 1356348866

  Member Of

  NPD member

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1689737066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17777 CENTER COURT DR N STE 550",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039337",
            "telephone_number": "800-435-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 44TH ST SE",
            "address_2": "STE. C",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495123971",
            "telephone_number": "866-576-0326",
            "fax_number": "616-554-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KABAFUSION OF MI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "MASOOD",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-435-3020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KabaFusion MI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ariauna Marie Jordan, BEHAVIOR TECHNICIAN
• Heather Lynn Jordan, PA-C
• Nigel Wayne Jordon
• Joseph a. Rossi, D.D.S., P.C.
• Mira Charlotte Jourdan, PHD
• Gabriela Kabandana
• Olivia M Kaercher
• Kaili Ball Counseling, LLC
• Heather Kaminski, PA
• Kaitlyn Marie Karwat

• Home Infusion Therapy Pharmacy in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Home Infusion Therapy Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.