Healthcare Provider Details

I. General information

NPI: 1780617068
Provider Name (Legal Business Name): SAV ON HOME HEALTH CARE SUPPLY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

632 N DIBBLE
LANSING MI
48917
US

IV. Provider business mailing address

21118 BRIDGE ST
SOUTHFIELD MI
48033
US

V. Phone/Fax

Practice location:
  • Phone: 517-323-2382
  • Fax: 517-323-0459
Mailing address:
  • Phone: 248-357-4550
  • Fax: 248-357-2332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number5301008290
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5301008290
License Number StateMI

VIII. Authorized Official

Name: ANDREW JAMES MAC
Title or Position: VP OF PHARMACY OPERATIONS
Credential: RPH
Phone: 248-357-4550