NPIMap

Organization Active NPI

Sparrow Community Care

  • Durable Medical Equipment & Medical Supplies
  • Saint Johns, MI
National Provider Identifier
1891811774
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
383243561 Issued in MI
Legal business name
SPARROW COMMUNITY CARE
Doing business as
Sparrow Medical Supply
Practice address
306 E Elm St
Saint Johns, MI 48879-2347
Phone
(989) 224-6730
Fax
(989) 224-3245
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Michael Tobin
Title
Executive Director
Phone
(517) 364-8044

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 383243561 MI Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X MI
Oxygen Equipment & Supplies (DME) 332BX2000X 383243561 MI
Prosthetic/Orthotic Supplier 335E00000X 383243561 MI

Addresses

Primary practice location

306 E Elm St
Saint Johns, MI 48879-2347

Mailing address

3301 E Michigan Ave Ste a
Lansing, MI 48912-4641
Phone (517) 364-2115

Other identifiers 2

IdentifierTypeStateIssuer
1675330MedicaidMI
540C30264OtherMIBCBS

Other names 1

  • Sparrow Medical Supply Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110927000896 MI DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 5395876056 Practice locations: Saint Johns, MI

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Sparrow Medical Supply306 E Elm St, Saint Johns, MI 48879-2347(989) 224-6730 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Insulin Infusion Pumps and/or Supplies|Negative Pressure Wound Therapy Pumps/Supplies|Support Surfaces: Pressure Reducing Beds/M… Does not accept assignmentParticipating since Aug 3, 2011

National Provider Directory

National Provider Directory
Tax ID family
Sparrow Community Care6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

915 E Michigan Ave
Lansing, MI 48912
Phone (517) 364-2115

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1891811774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 E MICHIGAN AVE STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124641",
            "telephone_number": "517-364-2115",
            "fax_number": "517-371-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E ELM ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792347",
            "telephone_number": "989-224-6730",
            "fax_number": "989-224-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "517-364-8044"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "383243561",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MI",
            "license": "383243561",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": "383243561",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1675330",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "540C30264",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparrow Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Johns, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.