Provider Demographics
NPI:1285604348
Name:HOME RESPIRATORY CARE & HOSPITAL EQUIPMENT, INC
Entity type:Organization
Organization Name:HOME RESPIRATORY CARE & HOSPITAL EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:PONDEXTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-534-1720
Mailing Address - Street 1:17700 W MCNICHOLS RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-3344
Mailing Address - Country:US
Mailing Address - Phone:313-534-1720
Mailing Address - Fax:313-534-2013
Practice Address - Street 1:17700 W MCNICHOLS RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-3344
Practice Address - Country:US
Practice Address - Phone:313-534-1720
Practice Address - Fax:313-534-2013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X, 332BC3200X, 332BD1200X, 332BN1400X, 332BP3500X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Not Answered332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
Not Answered332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI03218OtherMIDWEST A.B.W.I
MI31318OtherHEALTH PLAN OF MICHIGAN
MI49227OtherOMNI CARE COVENTRY HEALTH
MI03218OtherMIDWEST AKM
MI0300052OtherNORTHWOOD INC
MI1643032Medicaid
MIP43524OtherBLUE CARE NETWORK
MI0000000002672OtherCAPE
MI03218OtherMIDWEST HEALTH PLAN
MI0435170001OtherHEALTH ALLIANCE PLAN
MI52537OtherNATIONAL PROVIDER NETWORK
MI121422OtherGREAT LAKES HEALTH PLAN
MI1643032Medicaid
MI0000000002672OtherCAPE
MI49227OtherOMNI CARE COVENTRY HEALTH
MI0300052OtherNORTHWOOD INC