MID MICHIGAN HOME VISITING DOCTORS LLC
NPI 1790092500
General Practice in Portage, MI

Active since September 01, 2010
640 ROMENCE RD, SUITE 215, PORTAGE, MI 49024(269) 321-3300 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mid Michigan Home Visiting Doctors Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID MICHIGAN HOME VISITING DOCTORS LLC (NPI 1790092500) is a healthcare organization registered as a general practice in Portage, Michigan and active in the NPI registry since September 2010. The organization lists Jerry Omar, Vice President, as its authorized official.

NPPES Registry Identity

NPI1790092500
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMID MICHIGAN HOME VISITING DOCTORS LLC
Location Address640 ROMENCE RD, SUITE 215Portage, MI 49024-3464
Mailing AddressPo Box 40420Redford, MI 48240-0420
Organization SubpartNo
Authorized OfficialJerry OmarVice President · (313) 862-8050
Enumeration DateSeptember 1, 2010
Last NPPES UpdateDecember 1, 2011
NPI 1790092500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
640 ROMENCE RD, Portage, MI 49024

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
640 ROMENCE RD, SUITE 111
PORTAGE, MI 49024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid Michigan Home Visiting Doctors LLC's NPI number?

The NPI number for Mid Michigan Home Visiting Doctors LLC is 1790092500. It was assigned to this organization in the NPPES registry on September 1, 2010.

Where is Mid Michigan Home Visiting Doctors LLC located?

Mid Michigan Home Visiting Doctors LLC is located at 640 Romence Rd Suite 215, Portage, MI 49024. The listed phone number is (269) 321-3300.

What is Mid Michigan Home Visiting Doctors LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mid Michigan Home Visiting Doctors LLC was last updated on December 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.