Healthcare Provider Details

I. General information

NPI: 1285604348
Provider Name (Legal Business Name): HOME RESPIRATORY CARE & HOSPITAL EQUIPMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17700 W MCNICHOLS RD
DETROIT MI
48235-3344
US

IV. Provider business mailing address

17700 W MCNICHOLS RD
DETROIT MI
48235-3344
US

V. Phone/Fax

Practice location:
  • Phone: 313-534-1720
  • Fax: 313-534-2013
Mailing address:
  • Phone: 313-534-1720
  • Fax: 313-534-2013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number StateMI
# 5
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateMI
# 6
Primary TaxonomyY
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number StateMI

VIII. Authorized Official

Name: MRS. GWENDOLYN PONDEXTER
Title or Position: VICE PRESIDENT
Credential:
Phone: 313-534-1720