Organization
HOME I V CARE INC
Active
Other names
HOME I V CARE INC
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS MICHAEL BISMACK (PRESIDENT)
(248) 577-5670
Entity
Organization
Contact information
Practice address
32751 EDWARD AVE, SUITE 101, MADISON HEIGHTS, MI 48071-1422
(248) 577-5670
(248) 577-5660
Mailing address
32751 EDWARD AVE, SUITE 101, MADISON HEIGHTS, MI 48071-1422
(248) 577-5670
(248) 577-5660
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
5301005947
MI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2354998
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
2354998
—
MI
Enumeration date
05/23/2007
Last updated
03/19/2026
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