BAY HOME MEDICAL & REHAB INC. NPI 1063406189

NPI Information

NPI: 1063406189
Provider Name: BAY HOME MEDICAL & REHAB, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
707 PARSONS RD
TRAVERSE CITY, MI
ZIP 49686
Phone: (231) 933-1200
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BAY HOME MEDICAL & REHAB, INC. is a customized equipment durable medical equipment medical supplies in Traverse City, MI. BAY HOME MEDICAL & REHAB, INC. NPI is 1063406189. The provider is registered as an organization entity type.

The provider's business location address is:

707 PARSONS RD
TRAVERSE CITY, MI
ZIP 49686-587
Phone: (231) 933-1200
Fax: (231) 933-4402

The provider's authorized official is Timothy M Keller .
The authorized official title is Owner/operator and has the following contact phone number (231) 933-1200.

The enumeration date for this NPI number is 9/2/2005 and was last updated on 9/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0951920001	MEDICARE PIN	MICHIGAN
2	3124084	MEDICAID	MICHIGAN
3	540B80747	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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