Provider Demographics
NPI:1699758797
Name:COMPASSIONATE OXYGEN & RESPIRATORY SERVICES,INC.
Entity type:Organization
Organization Name:COMPASSIONATE OXYGEN & RESPIRATORY SERVICES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARNIE
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:SAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-706-3360
Mailing Address - Street 1:3375 ORCHARD LAKE RD
Mailing Address - Street 2:STE.C
Mailing Address - City:KEEGO HARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48320-1302
Mailing Address - Country:US
Mailing Address - Phone:248-706-3360
Mailing Address - Fax:248-706-3398
Practice Address - Street 1:3375 ORCHARD LAKE RD
Practice Address - Street 2:STE.C
Practice Address - City:KEEGO HARBOR
Practice Address - State:MI
Practice Address - Zip Code:48320-1302
Practice Address - Country:US
Practice Address - Phone:248-706-3360
Practice Address - Fax:248-706-3398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI54OF32104OtherBCBS PROV.#
MI4352048Medicaid
MI4352048Medicaid
MI54OF32104OtherBCBS PROV.#