MEDICARE: MARTINA HOADLEY

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	253Z00000X	In Home Supportive Care Agency		MI

General Provider Information

NPI Number	:	1598626137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTINA HOADLEY

Provider Business Mailing Address
First Line	:	2118 FERROL ST
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-0361
Country	:	US
Telephone Number	:	517-802-0581
Fax Number	:

Provider Business Practice Location Address
First Line	:	2118 FERROL ST
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-0361
Country	:	US
Telephone Number	:	517-802-0581
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2025
Last Update Date	:	11/26/2025

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Directions to “ MARTINA HOADLEY ” Practice Location

Language	Start Address	Practice Location

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