# THERAMEDIC HOME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THERAMEDIC HEALTH GROUP LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720517113
- **Authorized official:** MR. PANKAJ MAMTORA RPT (PRESIDENT)
- **Authorized official phone:** (248) 565-4000

## Contact information

- **Practice address:** 26400 W. 12 MILE RD, SUITE 80, SOUTHFIELD, MI 48034
- **Practice address phone:** (248) 565-4000
- **Practice address fax:** (248) 565-4020
- **Mailing address:** 26400 W 12 MILE RD STE 80, SOUTHFIELD, MI 48034-1700
- **Mailing address phone:** (248) 565-4000
- **Mailing address fax:** (248) 565-4020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2017
- **Last updated:** 07/21/2022