Provider Demographics
NPI:1124123443
Name:6 STAR HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:6 STAR HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:HILDA
Authorized Official - Middle Name:VANESSA
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-826-7735
Mailing Address - Street 1:4440 E 7 MILE RD
Mailing Address - Street 2:STE A
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48234-2106
Mailing Address - Country:US
Mailing Address - Phone:313-826-7735
Mailing Address - Fax:
Practice Address - Street 1:4440 E 7 MILE RD
Practice Address - Street 2:STE A
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48234-2106
Practice Address - Country:US
Practice Address - Phone:313-826-7735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health