Provider Demographics
NPI:1154415776
Name:METRO HOME HEALTH CARE PLANS, INC.
Entity type:Organization
Organization Name:METRO HOME HEALTH CARE PLANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-271-6230
Mailing Address - Street 1:15350 COMMERCE DR. N
Mailing Address - Street 2:STE. 200
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48120
Mailing Address - Country:US
Mailing Address - Phone:313-271-6230
Mailing Address - Fax:313-271-8555
Practice Address - Street 1:15350 COMMERCE DR. N
Practice Address - Street 2:STE. 200
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48120
Practice Address - Country:US
Practice Address - Phone:313-271-6230
Practice Address - Fax:313-271-8555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P23560Medicare PIN