| Visiting Home Md | |
|
4239 Isabelle St Portage MI 49024-1770 | |
| (269) 350-8463 | |
| (269) 382-4808 |
| Full Name | Visiting Home Md |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 4239 Isabelle St, Portage, Michigan |
| Authorized Official Name and Position | Juvenal Lipana Castillo (MANAGING MEMBER) |
| Authorized Official Contact | 2693508463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Visiting Home Md 9245 Austin Dr Portage MI 49002-6403 Ph: (917) 816-4427 | Visiting Home Md 4239 Isabelle St Portage MI 49024-1770 Ph: (269) 350-8463 |
| NPI Number | 1568602050 |
|---|---|
| Provider Enumeration Date | 02/24/2009 |
| Last Update Date | 02/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568602050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 4301087182 (Michigan) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 4301087182 (Michigan) | Primary |
Myndfull Care Michigan Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5930 Lovers Ln Ste L1, Portage, MI 49002 Phone: 855-839-8878 | |
Internal Medicine And Vitality, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6505 Constitution Blvd Ste C, Portage, MI 49024 Phone: 269-762-4120 Fax: 269-254-8413 | |
Steven S. Ellinger, Od, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1612 E. Centre Ave., Portage, MI 49002 Phone: 269-329-1030 Fax: 269-329-0966 | |
James E. Hanlon Md, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8145 Valleywood Ln, Suite B, Portage, MI 49024 Phone: 269-324-9162 Fax: 269-375-6078 | |
Ascension Medical Group Promed Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7901 Angling Rd, Portage, MI 49024 Phone: 269-552-2912 Fax: 269-552-2835 | |
Ascension Medical Group Promed Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7775 Angling Rd, Portage, MI 49024 Phone: 269-324-8670 | |
Prosper Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5228 Lovers Ln Ste 110, Portage, MI 49002 Phone: 269-312-8648 Fax: 269-585-6293 |