Provider Demographics
NPI:1407039076
Name:HOME MEDICAL SERVICES PC
Entity Type:Organization
Organization Name:HOME MEDICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ORR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:313-575-0715
Mailing Address - Street 1:8937 OHIO ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48204-2793
Mailing Address - Country:US
Mailing Address - Phone:313-575-0715
Mailing Address - Fax:313-893-4926
Practice Address - Street 1:8937 OHIO ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48204-2793
Practice Address - Country:US
Practice Address - Phone:313-575-0715
Practice Address - Fax:313-893-4926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIRO004572208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4139733Medicaid
MI4139733Medicaid