Provider Demographics
NPI:1851778146
Name:HOME MOBILITY SOLUTIONS, INC
Entity type:Organization
Organization Name:HOME MOBILITY SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-399-6137
Mailing Address - Street 1:5239 THATCHER RD
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-4027
Mailing Address - Country:US
Mailing Address - Phone:630-399-6137
Mailing Address - Fax:630-541-6903
Practice Address - Street 1:5239 THATCHER RD
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-4027
Practice Address - Country:US
Practice Address - Phone:630-399-6137
Practice Address - Fax:630-541-6903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1639193329Medicaid