Healthcare Provider Details

I. General information

NPI: 1851280986
Provider Name (Legal Business Name): SPARROW COMMUNITY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 S 2ND ST STE 130
CARSON CITY MI
48811-9650
US

IV. Provider business mailing address

3301 E MICHIGAN AVE STE A
LANSING MI
48912-4641
US

V. Phone/Fax

Practice location:
  • Phone: 517-364-2115
  • Fax: 517-371-1227
Mailing address:
  • Phone: 517-364-2115
  • Fax: 517-364-3906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL TOBIN
Title or Position: VICE PRESIDENT
Credential:
Phone: 517-364-8044