Healthcare Provider Details

I. General information

NPI: 1386991354
Provider Name (Legal Business Name): PRESCRIBED THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2012
Last Update Date: 03/17/2023
Certification Date: 03/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 W MAPLE RD STE 201A
TROY MI
48084-7064
US

IV. Provider business mailing address

PO BOX 1465
TROY MI
48099-1465
US

V. Phone/Fax

Practice location:
  • Phone: 248-324-4663
  • Fax: 248-324-4664
Mailing address:
  • Phone: 248-324-4663
  • Fax: 248-324-4664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JOHN F LOBO
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 248-324-4663