MEDICARE: HOME PRO-CARE, 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	251E00000X	Home Health Agency	237278	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	OE815	OTHER	MI	BCBSM MEDICARE SUPPLEMENTAL

Other Identifiers

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

General Provider Information

NPI Number	:	1972500833
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME PRO-CARE, INC.

Provider Business Mailing Address
First Line	:	5418 METROPOLITAN PKWY
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-4103
Country	:	US
Telephone Number	:	586-795-1331
Fax Number	:	586-795-1332

Provider Business Practice Location Address
First Line	:	5418 METROPOLITAN PKWY
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-4103
Country	:	US
Telephone Number	:	586-795-1331
Fax Number	:	586-795-1332

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARLYNE MICHAEL
Credential	:	R.N.
Telephone Number	:	586-795-1331

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	09/16/2008

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Directions to “HOME PRO-CARE, INC. ” Practice Location

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