=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912061219
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MIDWEST HOME HEALTH CARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/20/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 29501 GREENFIELD RD SUITE 100
-----------------------------------------------------
City | SOUTHFIELD
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48076-2250
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-559-9377
-----------------------------------------------------
Fax | 248-559-9378
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 29501 GREENFIELD RD SUITE 100
-----------------------------------------------------
City | SOUTHFIELD
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48076-2250
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-559-9377
-----------------------------------------------------
Fax | 248-559-9378
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. JOSEPH ORAM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 248-559-9377
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------