Provider Demographics
NPI:1275378663
Name:WE CARE HOME SERVICE LLC
Entity type:Organization
Organization Name:WE CARE HOME SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-701-7719
Mailing Address - Street 1:168 PERKINS ST
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48342-3146
Mailing Address - Country:US
Mailing Address - Phone:248-701-7719
Mailing Address - Fax:248-484-6641
Practice Address - Street 1:168 PERKINS ST
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48342-3146
Practice Address - Country:US
Practice Address - Phone:248-701-7719
Practice Address - Fax:248-484-6641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care