Provider Demographics
NPI:1487926960
Name:MI. HOME HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:MI. HOME HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ESMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-505-6455
Mailing Address - Street 1:5968 METAMORA RD
Mailing Address - Street 2:
Mailing Address - City:METAMORA
Mailing Address - State:MI
Mailing Address - Zip Code:48455-9200
Mailing Address - Country:US
Mailing Address - Phone:248-505-6455
Mailing Address - Fax:248-628-3619
Practice Address - Street 1:5968 METAMORA RD
Practice Address - Street 2:
Practice Address - City:METAMORA
Practice Address - State:MI
Practice Address - Zip Code:48455-9200
Practice Address - Country:US
Practice Address - Phone:248-505-6455
Practice Address - Fax:248-628-3619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health