Care Source, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

CARE SOURCE, INC

Practice address

1511 E Chicago Rd
Sturgis, MI 49091-1991

Phone

(269) 651-3266

Fax

(269) 651-6924

NPI assigned

Sep 21, 2006

Organization subpart

Yes

Parent organization

CARE SOURCE, INCAs reported in NPPES

Name

Mr. Mark A Piersma

Title

President

Phone

(616) 957-3957

Part of

Care Source Inc Dba Met

• Metron Health Care Products Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972601896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 E CHICAGO RD",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911991",
            "telephone_number": "269-651-3266",
            "fax_number": "269-651-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 E CHICAGO RD",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911991",
            "telephone_number": "269-651-3266",
            "fax_number": "269-651-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE SOURCE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARE SOURCE, INC",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PIERSMA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-957-3957",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "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": "1891743258",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metron Health Care Products",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Sturgis, MI
• Oxygen Equipment & Supplies (DME) in Michigan

• 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.