Organization Active NPI

Care Source, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Belmont, MI
National Provider Identifier
1821196742
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
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

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
Mr. Mitchell Roy Moore
Title
GM
Phone
(616) 957-1490

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1883950MedicaidMI

Other names 1

  • Metron Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Care Source Inc Dba Met3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.