Larry Porter, is a
Home Health Aide based in Detroit, Michigan. Larry Porter is licensed to practice in * (Not Available) (license number ) and his current practice location is
4386 Conner St Apt 411, Detroit, Michigan. He can be reached at his office (for appointments etc.) via phone at
(313) 618-4070.
NPI number for Larry Porter is 1104777069 and his current mailing address is 4386 Conner St Apt 411, Detroit, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104777069.
Healthcare Provider's Profile
| Full Name | Larry Porter |
|---|
| Gender | Male |
|---|
| Speciality | Home Health Aide |
|---|
| Location | 4386 Conner St Apt 411, Detroit, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104777069
- Provider Enumeration Date: 02/06/2026
- Last Update Date: 04/23/2026
Medical Identifiers
Medical identifiers for Larry Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104777069 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (Michigan) | Secondary |
| 374U00000X | Home Health Aide | (* (Not Available)) | Primary |
| 374J00000X | Doula | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry Porter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Larry Porter, 4386 Conner St Apt 411, Detroit, MI 48215-2273 Ph: () - | Larry Porter, 4386 Conner St Apt 411, Detroit, MI 48215-2273 Ph: (313) 618-4070 |
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