Healthcare Provider Details

I. General information

NPI: 1871430652
Provider Name (Legal Business Name): THUNDER BAY HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 W LAKE ST
ALPENA MI
49707-1838
US

IV. Provider business mailing address

624 W LAKE ST
ALPENA MI
49707-1838
US

V. Phone/Fax

Practice location:
  • Phone: 989-464-3087
  • Fax:
Mailing address:
  • Phone: 989-464-3087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: BRYDIE MAY MOLDENHAUER
Title or Position: OWNER
Credential:
Phone: 989-464-3087