Provider Demographics
NPI:1497914451
Name:SAV-ON HOME HEALTH CARE SUPPLY, INC.
Entity Type:Organization
Organization Name:SAV-ON HOME HEALTH CARE SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT - PHARMACY OPERATION
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:J
Authorized Official - Last Name:MAC
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:734-377-3154
Mailing Address - Street 1:34550 GLENDALE ST
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-1304
Mailing Address - Country:US
Mailing Address - Phone:734-525-1700
Mailing Address - Fax:734-345-3525
Practice Address - Street 1:6510 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48301-3011
Practice Address - Country:US
Practice Address - Phone:248-626-2525
Practice Address - Fax:248-626-5183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5301006099332B00000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2353403OtherNCPDP IDENTIFICATION NUMBER
MI4838912Medicaid
MI5301006099OtherMICHIGAN PHARMACY LICENSE
MI000817463OOtherAMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS AND PEDORTHOTICS INC.
MI540F319120OtherBLUE CROSS BLUE SHIELD MICHIGAN DME PROVIDER ID
MI540F319120OtherBLUE CROSS BLUE SHIELD MICHIGAN DME PROVIDER ID
MI4221530013Medicare NSC