Provider Demographics
NPI:1063609113
Name:AIRLINK HOMECARE LLC
Entity type:Organization
Organization Name:AIRLINK HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHEAL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MOSIER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:269-382-3715
Mailing Address - Street 1:1532 GULL RD
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49048-1621
Mailing Address - Country:US
Mailing Address - Phone:269-382-3715
Mailing Address - Fax:269-382-4815
Practice Address - Street 1:305 THOMAS ST
Practice Address - Street 2:SUITE B
Practice Address - City:ALLEGAN
Practice Address - State:MI
Practice Address - Zip Code:49010-9158
Practice Address - Country:US
Practice Address - Phone:877-382-3715
Practice Address - Fax:877-382-4815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI87-4719822Medicaid
MI5337250002Medicare PIN