Provider Demographics
NPI:1417995986
Name:HC REHAB SOLUTIONS LLC
Entity Type:Organization
Organization Name:HC REHAB SOLUTIONS LLC
Other - Org Name:INHOME REHAB WESTERN WAYNE,LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LIEDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-658-4328
Mailing Address - Street 1:729 W ANN ARBOR TRL
Mailing Address - Street 2:STE. 3
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-6225
Mailing Address - Country:US
Mailing Address - Phone:734-207-5053
Mailing Address - Fax:
Practice Address - Street 1:729 W ANN ARBOR TRL
Practice Address - Street 2:STE. 3
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-6225
Practice Address - Country:US
Practice Address - Phone:734-207-5053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201003175225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIDF4176OtherRAILROAD
MI0P25560Medicare PIN
MIDF4176OtherRAILROAD