Organization Active NPI

Remedi Seniorcare of Michigan, LLC

  • Long Term Care Pharmacy
  • Plymouth, MI
National Provider Identifier
1699280586
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
REMEDI SENIORCARE OF MICHIGAN, LLC
Practice address
14700 Helm CT
Plymouth, MI 48170-6062
Phone
(833) 754-1260
NPI assigned
Dec 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Authorized official

Name
Mr. Alan Bronfein
Title
Senior Vice President
Phone
(443) 927-8403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

14700 Helm CT
Plymouth, MI 48170-6062

Mailing address

1 Olympic PL Ste 600
Baltimore, MD 21204-4110
Phone (443) 632-1208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181126003500 MI DME Supplier - Pharmacy 3779837034 Practice locations: Plymouth, MI
O20210305001982 MI Part B Supplier - Mass Immunization (Roster Biller Only) 3779837034 Practice locations: Plymouth, MI

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
Remedi Seniorcare14700 Helm Court, Plymouth, MI 48170-6062(833) 754-1260 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Oct 3, 2018

National Provider Directory

National Provider Directory

Locations

75 Remittance Dr
Dept 6924
Chicago, IL 60675

14700 Helm Ct
Plymouth, MI 48170
Phone (833) 649-6021

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1699280586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLYMPIC PL STE 600",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212044110",
            "telephone_number": "443-632-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 HELM CT",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706062",
            "telephone_number": "833-754-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDI SENIORCARE OF MICHIGAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "BRONFEIN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "443-927-8403",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.