Provider Demographics
NPI:1326180407
Name:FUTURE MEDICAL HOME HEALTH INC
Entity Type:Organization
Organization Name:FUTURE MEDICAL HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:CORNELIUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-886-1460
Mailing Address - Street 1:5600 WILLIAMS LAKE RD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48329-3283
Mailing Address - Country:US
Mailing Address - Phone:248-886-1460
Mailing Address - Fax:248-886-1673
Practice Address - Street 1:5600 WILLIAMS LAKE RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48329-3283
Practice Address - Country:US
Practice Address - Phone:248-886-1460
Practice Address - Fax:248-886-1673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH01-1674400332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2763335Medicaid
OH2763335Medicaid