Organization Active NPI

Big Rock Candy Mountain LLC

Doing business as Dream Better

  • Durable Medical Equipment & Medical Supplies
  • Kalamazoo, MI
National Provider Identifier
1790533784
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BIG ROCK CANDY MOUNTAIN LLC
Doing business as
Dream Better
Practice address
2044 S Burdick St
Kalamazoo, MI 49001-3662
Phone
(269) 312-0950
NPI assigned
May 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
William Keith Coleman
Title
Chief Operating Officer
Phone
(269) 312-0950

Specialties & licenses 1

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

Addresses

Primary practice location

2044 S Burdick St
Kalamazoo, MI 49001-3662

Mailing address

6780 Edgefield St
Portage, MI 49024-1762
Phone (269) 312-0950

Other names 1

  • Dream Better Doing business as

National Provider Directory

National Provider Directory

Locations

2044 S Burdick St
Kalamazoo, MI 49001
Phone (269) 312-0950

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1790533784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6780 EDGEFIELD ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241762",
            "telephone_number": "269-312-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 S BURDICK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490013662",
            "telephone_number": "269-312-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG ROCK CANDY MOUNTAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "269-312-0950"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dream Better",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.