Organization Active NPI

Pulmonary Home Care, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Grand Rapids, MI
National Provider Identifier
1952485435
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
PULMONARY HOME CARE, INC.
Practice address
5150 Plainfield Ave NE
Grand Rapids, MI 49525-1049
Phone
(616) 364-4044
Fax
(616) 364-4047
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gordon L Preston, CRT
Title
President
Phone
(616) 364-4044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

5150 Plainfield Ave NE
Grand Rapids, MI 49525-1049

Mailing address

5150 Plainfield Ave NE
Grand Rapids, MI 49525-1049
Phone (616) 364-4044

Other identifiers 1

IdentifierTypeStateIssuer
1732876MedicaidMI

National Provider Directory

National Provider Directory

Locations

1045 W Main St
Fremont, MI 49412
Phone (231) 924-2223

5150 Plainfield Ave NE
Grand Rapids, MI 49525
Phone (616) 364-4044

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952485435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251049",
            "telephone_number": "616-364-4044",
            "fax_number": "616-364-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251049",
            "telephone_number": "616-364-4044",
            "fax_number": "616-364-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-364-4044",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1732876",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.