Provider Demographics
NPI:1295229151
Name:HEALTH MANAGEMENT INNOVATION COMPANY
Entity Type:Organization
Organization Name:HEALTH MANAGEMENT INNOVATION COMPANY
Other - Org Name:IHEALTH OF MICHIGAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCRIMMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-536-8108
Mailing Address - Street 1:2422 JOLLY RD STE 100
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-3686
Mailing Address - Country:US
Mailing Address - Phone:517-999-7700
Mailing Address - Fax:517-999-7701
Practice Address - Street 1:2422 JOLLY RD STE 100
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-3686
Practice Address - Country:US
Practice Address - Phone:517-999-7700
Practice Address - Fax:517-999-7701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-14
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIN225288225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty