Provider Demographics
NPI:1053604934
Name:MIDWEST HOME HEALTH CARE SERVICES, INC.
Entity type:Organization
Organization Name:MIDWEST HOME HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:OMIATEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-930-6334
Mailing Address - Street 1:PO BOX 1382
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48068-1382
Mailing Address - Country:US
Mailing Address - Phone:248-930-6334
Mailing Address - Fax:248-629-9234
Practice Address - Street 1:520 S MINERVA AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-3985
Practice Address - Country:US
Practice Address - Phone:248-930-6334
Practice Address - Fax:248-629-9234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health