Provider Demographics
NPI:1386714020
Name:CARING NURSES OF MICHIGAN, INC
Entity type:Organization
Organization Name:CARING NURSES OF MICHIGAN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-482-1142
Mailing Address - Street 1:39475 W 13 MILE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-2301
Mailing Address - Country:US
Mailing Address - Phone:248-482-1142
Mailing Address - Fax:248-482-1149
Practice Address - Street 1:39475 W 13 MILE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-2301
Practice Address - Country:US
Practice Address - Phone:248-482-1142
Practice Address - Fax:248-482-1149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
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
MIOE889OtherBLUE CROSS BLUE SHIELD
MI237268Medicare ID - Type Unspecified