Provider Demographics
NPI:1285958686
Name:HOME BOUND CARE LLC.
Entity type:Organization
Organization Name:HOME BOUND CARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHIEL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:REDMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-747-0340
Mailing Address - Street 1:29114 POWERS ST
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-6897
Mailing Address - Country:US
Mailing Address - Phone:248-747-0340
Mailing Address - Fax:734-728-8223
Practice Address - Street 1:29114 POWERS ST
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-6897
Practice Address - Country:US
Practice Address - Phone:248-747-0340
Practice Address - Fax:734-728-8223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty