Healthcare Provider Details
I. General information
NPI: 1275502387
Provider Name (Legal Business Name): SHARED CARE OF WEST BRANCH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/14/2006
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
117 S BURGESS ST
WEST BRANCH MI
48661-1403
US
IV. Provider business mailing address
PO BOX 746026
ATLANTA GA
30374-6026
US
V. Phone/Fax
- Phone: 989-345-7813
- Fax: 989-345-1575
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEFFREY
BARNHARD
Title or Position: CEO
Credential: AO
Phone: 800-284-2006