Provider Demographics
NPI:1427809250
Name:HI TO MI CO
Entity type:Organization
Organization Name:HI TO MI CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:GAGGIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-669-0095
Mailing Address - Street 1:4707 MACATAWA LEGENDS BLVD
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424-7453
Mailing Address - Country:US
Mailing Address - Phone:586-530-5052
Mailing Address - Fax:
Practice Address - Street 1:4707 MACATAWA LEGENDS BLVD
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49424-7453
Practice Address - Country:US
Practice Address - Phone:616-669-0095
Practice Address - Fax:616-900-6996
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HI TO MI CO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care