Provider Demographics
NPI:1619960291
Name:MOBILITY PLUS HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:MOBILITY PLUS HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:RATTAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:586-978-9850
Mailing Address - Street 1:5701 CHICAGO RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-5033
Mailing Address - Country:US
Mailing Address - Phone:586-978-9850
Mailing Address - Fax:586-978-9851
Practice Address - Street 1:5701 CHICAGO RD
Practice Address - Street 2:SUITE D
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48092-5033
Practice Address - Country:US
Practice Address - Phone:586-978-9850
Practice Address - Fax:586-978-9851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOE936OtherBLUE CROSS BLUE SHIELD MI
MI4454351Medicaid
237473Medicare ID - Type UnspecifiedPROVIDER NUMBER