Provider Demographics
NPI:1972848836
Name:HEDBERG HOMECARE SERVICES, INC.
Entity Type:Organization
Organization Name:HEDBERG HOMECARE SERVICES, INC.
Other - Org Name:RIGHT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:COY
Authorized Official - Last Name:HEDBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-999-7132
Mailing Address - Street 1:1035 CHARLEVOIX DR STE 300
Mailing Address - Street 2:
Mailing Address - City:GRAND LEDGE
Mailing Address - State:MI
Mailing Address - Zip Code:48837-2223
Mailing Address - Country:US
Mailing Address - Phone:517-622-1472
Mailing Address - Fax:517-622-1474
Practice Address - Street 1:1035 CHARLEVOIX DR STE 300
Practice Address - Street 2:
Practice Address - City:GRAND LEDGE
Practice Address - State:MI
Practice Address - Zip Code:48837-2223
Practice Address - Country:US
Practice Address - Phone:517-622-1472
Practice Address - Fax:517-622-1474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-04
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care