GREAT LAKES HOME MEDICAL
NPI 1750351656
Durable Medical Equipment & Medical Supplies in Iron River, MI

NPI Status: Active since January 24, 2006

Contact Information

4963 W US HIGHWAY 2
IRON RIVER, MI
ZIP 49935
Phone: (906) 265-5985
Fax: (906) 265-0032

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Accepts Insurance

About GREAT LAKES HOME MEDICAL

This page provides the complete NPI Profile along with additional information for Great Lakes Home Medical, a provider established in Iron River, Michigan operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1750351656 assigned on January 2006. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Great Lakes Home Medical. The authorized official of this NPI record is Mrs. Robin L Menchen (Chief Executive Officer)

NPI
1750351656
Provider Legal Name
PROFESSIONAL BREATHING ASSOCIATES INC
Other Organization Name
GREAT LAKES HOME MEDICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4963 W US HIGHWAY 2 IRON RIVER, MI 49935
Location Phone
(906) 265-5985
Location Fax
(906) 265-0032
Mailing Address
PO BOX 27968 SALT LAKE CITY, UT 84127
Mailing Phone
(765) 448-6685
Mailing Fax
(906) 265-0032
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-24-2006
Last Update Date
04-01-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332BC3200XSuppliers

Durable Medical Equipment & Medical Supplies
Customized Equipment

 
2332BP3500XSuppliers

Durable Medical Equipment & Medical Supplies
Parenteral & Enteral Nutrition

 
3332BX2000XSuppliers

Durable Medical Equipment & Medical Supplies
Oxygen Equipment & Supplies

 
4335E00000XSuppliers

Prosthetic/Orthotic Supplier

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • Bronze First - HMO
  • Bronze First Adult Vision & Fitness - HMO
  • Diabetes Gold - HMO
  • Diabetes Gold Adult Vision & Fitness - HMO
  • Diabetes Silver - HMO
  • Diabetes Silver Adult Vision & Fitness - HMO
  • Gold - HMO
  • Gold Adult Vision & Fitness - HMO
  • HDHP Preventive Silver - HMO
  • Healthy Heart Gold - HMO
  • Enrich $1,500 - 25% - HMO
  • Enrich $3,500 - 30% - HMO
  • Enrich $4,100 HDHP - HMO
  • Enrich $5,000 - 40% - HMO
  • Enrich $6,200 HDHP - HMO
  • Enrich $7,500 - HMO
  • Enrich $9,200 - HMO
  • Enrich Protection - HMO
  • Premier $1,500 - 25% - HMO
  • Premier $3,500 - 30% - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. ROBIN L MENCHEN

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(407) 822-4600

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3450572MEDICAID (05)MI 
41748800MEDICAID (05)WI 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750351656
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100652610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 5 + 2 + 6 + 1 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1750351656 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750351656, enumerated in the NPI registry as an "organization" on January 24, 2006

The provider is located at 4963 W Us Highway 2 Iron River, Mi 49935 and the phone number is (906) 265-5985

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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