Organization
HOME I V CARE INC
Active
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
251E00000X
Home Health Agency
—
MI
251F00000X
Home Infusion Agency
—
MI
332B00000X
Durable Medical Equipment & Medical Supplies
—
MI
332BC3200X
Customized Equipment (DME)
—
MI
332BD1200X
Dialysis Equipment & Supplies (DME)
—
MI
332BN1400X
Nursing Facility Supplies (DME)
—
MI
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
MI
332BX2000X
Oxygen Equipment & Supplies (DME)
—
MI
3336H0001X
Home Infusion Therapy Pharmacy
—
MI
335E00000X
Prosthetic/Orthotic Supplier
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540F30963
BCBSM SUPPLIER PROVIDER
MI
05
—
872804497
—
MI
Enumeration date
04/18/2007
Last updated
03/19/2026
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