Provider Demographics
NPI:1487709507
Name:CHSC INC
Entity type:Organization
Organization Name:CHSC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-483-3840
Mailing Address - Street 1:15565 NORTHLAND DR W
Mailing Address - Street 2:STE 406W
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-5305
Mailing Address - Country:US
Mailing Address - Phone:248-483-3840
Mailing Address - Fax:248-483-3850
Practice Address - Street 1:15565 NORTHLAND DR W
Practice Address - Street 2:STE 406W
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5303
Practice Address - Country:US
Practice Address - Phone:248-483-3840
Practice Address - Fax:248-483-3850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237613Medicare ID - Type UnspecifiedHOME HEALTH CARE AGENCY