Healthcare Provider Details

I. General information

NPI: 1164356333
Provider Name (Legal Business Name): HOMEWARD HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 W FAIR AVE
MARQUETTE MI
49855-2675
US

IV. Provider business mailing address

6764 SAN JUAN LOT 57
ALANSON MI
49706-8205
US

V. Phone/Fax

Practice location:
  • Phone: 844-670-2273
  • Fax: 833-636-1944
Mailing address:
  • Phone: 231-373-3250
  • Fax: 833-626-1944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: TRACEY RAY OSTRANDER
Title or Position: CARE NAVIGATOR
Credential:
Phone: 231-373-3250