Provider Demographics
NPI:1669421475
Name:RM HOME CARE, INC
Entity type:Organization
Organization Name:RM HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR / DON
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:POBERESKY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-557-1275
Mailing Address - Street 1:32910 W 13 MILE RD STE A102A
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-1980
Mailing Address - Country:US
Mailing Address - Phone:248-557-1275
Mailing Address - Fax:248-557-1276
Practice Address - Street 1:32910 W 13 MILE RD STE A102A
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1980
Practice Address - Country:US
Practice Address - Phone:248-557-1275
Practice Address - Fax:248-557-1276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI15/4848211Medicaid
MI237589Medicare ID - Type Unspecified