Provider Demographics
NPI:1194267880
Name:PILLAR MEDICAL GROUP INC.
Entity type:Organization
Organization Name:PILLAR MEDICAL GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:TARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-772-8094
Mailing Address - Street 1:6510 E RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-8287
Mailing Address - Country:US
Mailing Address - Phone:810-772-4567
Mailing Address - Fax:
Practice Address - Street 1:6510 E RIDGE CT
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-8287
Practice Address - Country:US
Practice Address - Phone:810-772-4567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-10
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251B00000X, 251E00000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care