Provider Demographics
NPI:1801063847
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:VP PHARMACY OPERATIONS
Authorized Official - Prefix:
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:734-525-1700
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:734-377-3154
Mailing Address - Fax:734-345-3525
Practice Address - Street 1:24100 MEADOWBROOK RD
Practice Address - Street 2:SUITE A
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-3457
Practice Address - Country:US
Practice Address - Phone:248-478-3000
Practice Address - Fax:248-478-9843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5301007279332B00000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI000817796OOtherAMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS AND PEDORTHOTICS INC.
MI2344745OtherNCPDP ID
MI4843850Medicaid
MI5301007279OtherMICHIGAN PHARMACY LICENSE
MI540F319130OtherBLUE CROSS DME ID
MI540F319130OtherBLUE CROSS DME ID
MI4843850Medicaid