Provider Demographics
NPI:1770028763
Name:REHAB AND MOBILITY SYSTEMS, LLC
Entity Type:Organization
Organization Name:REHAB AND MOBILITY SYSTEMS, LLC
Other - Org Name:BAY HOME MEDICAL AND REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:ZICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-480-0430
Mailing Address - Street 1:11385 N SAGINAW
Mailing Address - Street 2:SUITE 11
Mailing Address - City:CLIO
Mailing Address - State:MI
Mailing Address - Zip Code:48420
Mailing Address - Country:US
Mailing Address - Phone:810-547-1374
Mailing Address - Fax:
Practice Address - Street 1:707 PARSONS
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686
Practice Address - Country:US
Practice Address - Phone:231-933-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-29
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6147640001OtherMEDICARE PTAN