Provider Demographics
NPI:1134306046
Name:MYMICHIGAN HOME CARE
Entity Type:Organization
Organization Name:MYMICHIGAN HOME CARE
Other - Org Name:MIDMICHIGAN HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PATIENT ACCOUNTING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MELCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-633-0746
Mailing Address - Street 1:6810 EASTMAN AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48642-7805
Mailing Address - Country:US
Mailing Address - Phone:989-633-1400
Mailing Address - Fax:989-633-1412
Practice Address - Street 1:6810 EASTMAN AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-7805
Practice Address - Country:US
Practice Address - Phone:989-633-1400
Practice Address - Fax:989-633-1412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI540E611180OtherBCBSM
MI540E611180OtherBCBSM