MEDICARE: HOME MEDICAL TECHNOLOGIES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146D00000X	Personal Emergency Response Attendant

General Provider Information

NPI Number	:	1164634945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME MEDICAL TECHNOLOGIES, INC.

Provider Business Mailing Address
First Line	:	3195 CHRISTY WAY S
Second Line	:	STE 5
City	:	SAGINAW
State	:	MI
Zip	:	48603-2213
Country	:	US
Telephone Number	:	989-793-6521
Fax Number	:	989-793-2953

Provider Business Practice Location Address
First Line	:	3195 CHRISTY WAY S
Second Line	:	STE 5
City	:	SAGINAW
State	:	MI
Zip	:	48603-2213
Country	:	US
Telephone Number	:	989-793-6521
Fax Number	:	989-793-2953

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES HARLESS
Credential	:
Telephone Number	:	989-793-6521

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	08/22/2020

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