CCN: 239131 NPI: 1154551406 Organization

Health Source Home Care, Inc

1100 OWENDALE DR , SUITE B
TROY, MI 480831914

Contact Information

Phone 2486889106
Fax 2482505555
Enumeration Date 2009-07-21
Last Updated 2011-07-13

Taxonomies

Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 47664

providerType 36

operatingCostToChargeRatio 0.32

censusDivision 4

cbsaActualGeographicLocation 47664

providerType 36

operatingCostToChargeRatio 0.32

censusDivision 4

cbsaActualGeographicLocation 47664

providerType 36

operatingCostToChargeRatio 0.32

censusDivision 4

cbsaActualGeographicLocation 47664

providerType 36

operatingCostToChargeRatio 0.32

censusDivision 4

cbsaActualGeographicLocation 47664

providerType 36

operatingCostToChargeRatio 0.32

censusDivision 4

cbsaActualGeographicLocation 47664

providerType 36

operatingCostToChargeRatio 0.32

censusDivision 4

cbsaActualGeographicLocation 47664

providerType 36

operatingCostToChargeRatio 0.32

censusDivision 4

cbsaActualGeographicLocation 47664

providerType 36

operatingCostToChargeRatio 0.32

censusDivision 4

cbsaActualGeographicLocation 47664

providerType 36

operatingCostToChargeRatio 0.32

censusDivision 4

cbsaActualGeographicLocation 47664

providerType 36

operatingCostToChargeRatio 0.32

censusDivision 4

cbsaActualGeographicLocation 47664

providerType 36

operatingCostToChargeRatio 0.32

censusDivision 4

cbsaActualGeographicLocation 47664

providerType 36

operatingCostToChargeRatio 0.32

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 47664

providerType 36

operatingCostToChargeRatio 0.32

specialPaymentIndicator

carrierCode 08202

localityCode 01

cbsaActualGeographicLocation 47664

providerType 36

operatingCostToChargeRatio 0.32

specialPaymentIndicator

carrierCode 08202

localityCode 01

cbsaActualGeographicLocation 47664

providerType 36

operatingCostToChargeRatio 0.32

carrierCode 08202

localityCode 01

cbsaActualGeographicLocation 47664

providerType 36

operatingCostToChargeRatio 0.32

specialPaymentIndicator

carrierCode 08202

localityCode 01

cbsaActualGeographicLocation 47664

providerType 36

operatingCostToChargeRatio 0.32

specialPaymentIndicator

carrierCode 08202

localityCode 01

cbsaActualGeographicLocation 47664

providerType 36

operatingCostToChargeRatio 0.32

specialPaymentIndicator

carrierCode 08202

localityCode 01

cbsaActualGeographicLocation 47664

providerType 36

operatingCostToChargeRatio 0.32

specialPaymentIndicator

carrierCode 08202

localityCode 01

cbsaActualGeographicLocation 47664

providerType 36

operatingCostToChargeRatio 0.32

specialPaymentIndicator

carrierCode 08202

localityCode 01