MEDICARE: COMPASSIONATE OXYGEN & RESPIRATORY SERVICES,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)		MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	54OF32104	OTHER	MI	BCBS PROV.#
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699758797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE OXYGEN & RESPIRATORY SERVICES,INC.

Provider Business Mailing Address
First Line	:	3375 ORCHARD LAKE RD
Second Line	:	STE.C
City	:	KEEGO HARBOR
State	:	MI
Zip	:	48320-1302
Country	:	US
Telephone Number	:	248-706-3360
Fax Number	:	248-706-3398

Provider Business Practice Location Address
First Line	:	3375 ORCHARD LAKE RD
Second Line	:	STE.C
City	:	KEEGO HARBOR
State	:	MI
Zip	:	48320-1302
Country	:	US
Telephone Number	:	248-706-3360
Fax Number	:	248-706-3398

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ARNIE LESLIE SAHAM
Credential	:
Telephone Number	:	248-706-3360

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	07/21/2022

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Directions to “COMPASSIONATE OXYGEN & RESPIRATORY SERVICES,INC. ” Practice Location

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