Provider Demographics
NPI:1558338368
Name:RESPIRATORY HOME CARE & CONVALESCENT SUPPLY INC
Entity Type:Organization
Organization Name:RESPIRATORY HOME CARE & CONVALESCENT SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:BUFFINGA
Authorized Official - Suffix:
Authorized Official - Credentials:CRTT
Authorized Official - Phone:269-695-1315
Mailing Address - Street 1:320 N REDBUD TRAIL
Mailing Address - Street 2:
Mailing Address - City:BUCHANAN
Mailing Address - State:MI
Mailing Address - Zip Code:49107
Mailing Address - Country:US
Mailing Address - Phone:269-695-1315
Mailing Address - Fax:269-695-4388
Practice Address - Street 1:320 N REDBUD TRAIL
Practice Address - Street 2:
Practice Address - City:BUCHANAN
Practice Address - State:MI
Practice Address - Zip Code:49107
Practice Address - Country:US
Practice Address - Phone:269-695-1315
Practice Address - Fax:269-695-4388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-01
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5106076Medicaid
MI5106076Medicaid