Organization Active NPI

Monroe Home Care Shoppe, Inc

  • Durable Medical Equipment & Medical Supplies
  • Monroe, MI
National Provider Identifier
1811092679
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MONROE HOME CARE SHOPPE, INC
Practice address
474 N Telegraph Rd
Monroe, MI 48162-3335
Phone
(734) 241-7875
Fax
(734) 241-7469
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Laurie Ann Berry
Title
Vice President
Phone
(734) 241-7875

Specialties & licenses 1

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

Addresses

Primary practice location

474 N Telegraph Rd
Monroe, MI 48162-3335

Mailing address

474 N Telegraph Rd
Monroe, MI 48162-3335
Phone (734) 241-7875

Other identifiers 2

IdentifierTypeStateIssuer
3139882MedicaidMI
540E81002OtherMIBCBCSM

National Provider Directory

National Provider Directory

Locations

474 N Telegraph Rd
Monroe, MI 48162
Phone (734) 241-7875

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811092679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 N TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623335",
            "telephone_number": "734-241-7875",
            "fax_number": "734-241-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 N TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623335",
            "telephone_number": "734-241-7875",
            "fax_number": "734-241-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE HOME CARE SHOPPE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "734-241-7875",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3139882",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBCSM",
            "identifier": "540E81002",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.