Active NPI
Care Source, Inc.
- Oxygen Equipment & Supplies (DME)
- Belmont, MI
National Provider Identifier
1821196742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- CARE SOURCE, INC.
- Practice address
- 8232 Graphic Dr NE
Belmont, MI 49306-9448 - Phone
- (616) 866-0044
- Fax
- (616) 866-9684
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mitchell Roy Moore
- Title
- GM
- Phone
- (616) 957-1490
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MI | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | MI | Primary |
Addresses
Primary practice location
8232 Graphic Dr NE
Belmont, MI 49306-9448
Mailing address
8232 Graphic Dr NE
Belmont, MI 49306-9448
Phone (616) 866-0044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1883950 | Medicaid | MI |
Other names 1
- Metron
National Provider Directory
National Provider Directory- Tax ID family
- Care Source Inc Dba Met
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Muskegon Heights, MI
- NPI 1164520086
-
- Oxygen Equipment & Supplies (DME)
- Big Rapids, MI
- NPI 1174621098
Locations
8232 Graphic Dr NE
Belmont, MI 49306
Phone (616) 866-0044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1821196742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8232 GRAPHIC DR NE",
"city": "BELMONT",
"state": "MI",
"postal_code": "493069448",
"telephone_number": "616-866-0044",
"fax_number": "616-866-9684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8232 GRAPHIC DR NE",
"city": "BELMONT",
"state": "MI",
"postal_code": "493069448",
"telephone_number": "616-866-0044",
"fax_number": "616-866-9684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE SOURCE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "MITCHELL",
"authorized_official_middle_name": "ROY",
"authorized_official_title_or_position": "GM",
"authorized_official_telephone_number": "616-957-1490",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1883950",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Metron",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Belmont, 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.