Provider Demographics
NPI:1215797519
Name:HIGH HOPE HOME CARE (H3) L.L.C
Entity type:Organization
Organization Name:HIGH HOPE HOME CARE (H3) L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:HOUSSEIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ISMAEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-414-7156
Mailing Address - Street 1:26324 STANFORD DR W
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-2204
Mailing Address - Country:US
Mailing Address - Phone:313-414-7156
Mailing Address - Fax:
Practice Address - Street 1:26324 STANFORD DR W
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-2204
Practice Address - Country:US
Practice Address - Phone:313-414-7156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care