Provider Demographics
NPI:1124469366
Name:ALL NEEDS SENIOR SERVICES, INC.
Entity type:Organization
Organization Name:ALL NEEDS SENIOR SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GIVA
Authorized Official - Middle Name:O
Authorized Official - Last Name:TILLMAN-ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-687-9556
Mailing Address - Street 1:1723 PUCKER STREET DR
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:MI
Mailing Address - Zip Code:49120-1192
Mailing Address - Country:US
Mailing Address - Phone:269-687-9556
Mailing Address - Fax:269-683-5280
Practice Address - Street 1:1723 PUCKER STREET DR
Practice Address - Street 2:SUITE A
Practice Address - City:NILES
Practice Address - State:MI
Practice Address - Zip Code:49120
Practice Address - Country:US
Practice Address - Phone:269-262-4451
Practice Address - Fax:269-683-5280
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GIVA TILLMAN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-07-16
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5361533Medicaid