MEDICARE: SPECIALIZED HOMECARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073680799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIALIZED HOMECARE INC

Provider Business Mailing Address
First Line	:	1535 HIGHWOOD E
Second Line	:
City	:	PONTIAC
State	:	MI
Zip	:	48340-1234
Country	:	US
Telephone Number	:	877-944-9800
Fax Number	:	248-409-0403

Provider Business Practice Location Address
First Line	:	1535 HIGHWOOD E
Second Line	:
City	:	PONTIAC
State	:	MI
Zip	:	48340-1234
Country	:	US
Telephone Number	:	877-944-9800
Fax Number	:	248-409-0403

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CARLIA CICHON
Credential	:
Telephone Number	:	877-944-9800

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	02/11/2026

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Directions to “SPECIALIZED HOMECARE INC ” Practice Location

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