Healthcare Provider Details

I. General information

NPI: 1295678084
Provider Name (Legal Business Name): MTI HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 FRANK LLOYD WRIGHT DR
ANN ARBOR MI
48105-9484
US

IV. Provider business mailing address

24 FRANK LLOYD WRIGHT DR # 505
ANN ARBOR MI
48105-9484
US

V. Phone/Fax

Practice location:
  • Phone: 734-228-2513
  • Fax: 734-228-2204
Mailing address:
  • Phone: 734-228-2513
  • Fax: 734-228-2204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MUNKHTUYA GANBAATAR
Title or Position: OWNER/CARE DIRECTOR
Credential:
Phone: 734-201-7123