Active NPI
Pulmonary Home Care, Inc.
- Oxygen Equipment & Supplies (DME)
- Grand Rapids, MI
National Provider Identifier
1952485435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1732876 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.