MEDICARE: HOME MEDICAL SERVICES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	RO004572	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407039076
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME MEDICAL SERVICES PC

Provider Business Mailing Address
First Line	:	8937 OHIO ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48204-2793
Country	:	US
Telephone Number	:	313-575-0715
Fax Number	:	313-893-4926

Provider Business Practice Location Address
First Line	:	8937 OHIO ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48204-2793
Country	:	US
Telephone Number	:	313-575-0715
Fax Number	:	313-893-4926

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT ORR
Credential	:	DO
Telephone Number	:	313-575-0715

Provider Enumeration Date	:	12/06/2007
Last Update Date	:	12/12/2007

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Directions to “HOME MEDICAL SERVICES PC ” Practice Location

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