Healthcare Provider Details

I. General information

NPI: 1003810573
Provider Name (Legal Business Name): AIRLINK HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2005
Last Update Date: 11/23/2022
Certification Date: 11/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1532 GULL RD
KALAMAZOO MI
49048-1621
US

IV. Provider business mailing address

1532 GULL RD
KALAMAZOO MI
49048-1621
US

V. Phone/Fax

Practice location:
  • Phone: 269-382-3715
  • Fax: 269-382-4815
Mailing address:
  • Phone: 269-382-3715
  • Fax: 269-382-4815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberE
License Number StateMI

VIII. Authorized Official

Name: MR. MICHAEL JAMES MOSIER
Title or Position: DIRECTOR OF OPERATION
Credential:
Phone: 269-382-3715