MEDICARE: HOME REHAB SOLUTIONS OF MICHIGAN LLC

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	225100000X	Physical Therapist	5501012670	MI
2	225X00000X	Occupational Therapist	5201005173	MI
3	225X00000X	Occupational Therapist	5201004547	MI

General Provider Information

NPI Number	:	1447283502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME REHAB SOLUTIONS OF MICHIGAN LLC

Provider Business Mailing Address
First Line	:	PO BOX 27517
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48909-0517
Country	:	US
Telephone Number	:	517-281-7090
Fax Number	:

Provider Business Practice Location Address
First Line	:	2407 HOUGHTON HOLLOW DR
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48911-8417
Country	:	US
Telephone Number	:	517-281-7090
Fax Number	:	517-694-0260

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	MR. JAMES JONATHAN INDA
Credential	:	OTR/L
Telephone Number	:	321-277-1983

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	09/11/2025

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