Provider Demographics
NPI:1245263235
Name:HOME THERAPEUTIC MODALITIES, LTD
Entity type:Organization
Organization Name:HOME THERAPEUTIC MODALITIES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-627-9469
Mailing Address - Street 1:PO BOX 620
Mailing Address - Street 2:
Mailing Address - City:ORTONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48462-0620
Mailing Address - Country:US
Mailing Address - Phone:248-627-9469
Mailing Address - Fax:248-627-9146
Practice Address - Street 1:5560 LAKEVIEW BLVD
Practice Address - Street 2:
Practice Address - City:GOODRICH
Practice Address - State:MI
Practice Address - Zip Code:48438-9611
Practice Address - Country:US
Practice Address - Phone:248-627-9469
Practice Address - Fax:248-627-9146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3125170Medicaid
MI3125170Medicaid