Organization Active NPI

Mmoc, LLC

Doing business as Active Infusion

  • Home Infusion Therapy Pharmacy
  • Saginaw, MI
National Provider Identifier
1760496186
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
MMOC, LLC
Doing business as
Active Infusion
Practice address
3665 Bay Rd
Saginaw, MI 48603-2429
Phone
(989) 799-4590
Fax
(989) 799-4432
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
N J N
Title
Member
Phone
(555) 555-1212

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Home Infusion Therapy Pharmacy 3336H0001X Primary

Addresses

Primary practice location

3665 Bay Rd
Saginaw, MI 48603-2429

Mailing address

25219 Dequindre Rd
Madison Heights, MI 48071-4211

Other identifiers 3

IdentifierTypeStateIssuer
3517617MedicaidMI
540G303890OtherMIBCBSM PIN
470G300030OtherMIBCBSM HIT

Other names 1

  • Active Infusion Doing business as

National Provider Directory

National Provider Directory

Locations

25219 Dequindre Rd
Madison Heights, MI 48071
Phone (248) 336-7051

3665 Bay Rd
Saginaw, MI 48603
Phone (989) 799-0066

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1760496186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25219 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480714211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 BAY RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032429",
            "telephone_number": "989-799-4590",
            "fax_number": "989-799-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMOC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "N",
        "authorized_official_first_name": "N",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "555-555-1212"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3517617",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN",
            "identifier": "540G303890",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM HIT",
            "identifier": "470G300030",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.