Organization Active NPI

Senior Home Health Care Inc

  • Oxygen Equipment & Supplies (DME)
  • Commerce Township, MI
National Provider Identifier
1891775359
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
SENIOR HOME HEALTH CARE INC
Practice address
4204 Martin Rd
Suite E
Commerce Township, MI 48390-4135
Phone
(800) 736-9149
Fax
(800) 233-0933
NPI assigned
Jan 20, 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
Thomas Haller
Title
President
Phone
(800) 736-9149

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X MI Primary
Pharmacy 333600000X 5301006777 MI

Addresses

Primary practice location

4204 Martin Rd
Suite E
Commerce Township, MI 48390-4135

Mailing address

4204 Martin Rd
Suite E
Commerce Township, MI 48390-4135
Phone (800) 736-9149

Other identifiers 3

IdentifierTypeStateIssuer
2365915MedicaidMI
2365915OtherMINCPDP
OF30711OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930051861 MI DME Supplier - PharmacyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 7113045899 Practice locations: Commerce Township, MI

National Provider Directory

National Provider Directory
Tax ID family
Senior Home Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891775359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 MARTIN RD",
            "address_2": "SUITE E",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483904135",
            "telephone_number": "800-736-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 MARTIN RD",
            "address_2": "SUITE E",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483904135",
            "telephone_number": "800-736-9149",
            "fax_number": "800-233-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HALLER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-736-9149"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301006777",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2365915",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2365915",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "OF30711",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, 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.
  • 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.