NPIMap

Organization Active NPI

Baco Care Services LLC

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1780294850
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BACO CARE SERVICES LLC
Practice address
26911 Northwestern Hwy Ste 530
Southfield, MI 48033-4717
Phone
(947) 522-0017
NPI assigned
Aug 4, 2020
Last updated
Oct 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Walter Lorang
Title
Ceo
Phone
(947) 522-0037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

26911 Northwestern Hwy Ste 530
Southfield, MI 48033-4717

Mailing address

26911 Northwestern Hwy Ste 530
Southfield, MI 48033-4717
Phone (947) 522-0017

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230714000925 MI Part B Supplier - Clinic/Group Practice 6103286737 Receives reassigned benefits from 19 practitioners
Practice locations: Southfield, MI

National Provider Directory

National Provider Directory

Locations

26911 Northwestern Hwy
Ste 530
Southfield, MI 48033
Phone (313) 530-5494

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1780294850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26911 NORTHWESTERN HWY STE 530",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480334717",
            "telephone_number": "947-522-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26911 NORTHWESTERN HWY STE 530",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480334717",
            "telephone_number": "947-522-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACO CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "LORANG",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "947-522-0037"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.