MEDICARE: HOME CARE DOCTORS PC

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	207Q00000X	Family Medicine Physician	4301064583	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487821799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE DOCTORS PC

Provider Business Mailing Address
First Line	:	PO BOX 2240
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48333-2240
Country	:	US
Telephone Number	:	313-506-2037
Fax Number	:	248-538-8942

Provider Business Practice Location Address
First Line	:	28230 ORCHARD LAKE RD
Second Line	:	STE 103
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-3762
Country	:	US
Telephone Number	:	313-506-2037
Fax Number	:	248-538-8942

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSE CASTRORAMIREZ
Credential	:	MD
Telephone Number	:	313-506-2037

Provider Enumeration Date	:	05/15/2008
Last Update Date	:	05/15/2008

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