Provider Demographics
NPI:1760195465
Name:HOMECARE PHYSICAL THERAPY OF MICHIGAN LLC
Entity Type:Organization
Organization Name:HOMECARE PHYSICAL THERAPY OF MICHIGAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MECHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-929-2543
Mailing Address - Street 1:31558 ORCHARD CRK
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-1323
Mailing Address - Country:US
Mailing Address - Phone:248-929-2543
Mailing Address - Fax:
Practice Address - Street 1:31558 ORCHARD CRK
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1323
Practice Address - Country:US
Practice Address - Phone:248-929-2543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-28
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No332U00000XSuppliersHome Delivered Meals
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty