Provider Demographics
NPI:1588320584
Name:ENDLESS LOVE HOME CARE LLC
Entity type:Organization
Organization Name:ENDLESS LOVE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, HOME HELP
Authorized Official - Phone:313-989-8572
Mailing Address - Street 1:8600 CAMERON ST APT 112
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48211-1205
Mailing Address - Country:US
Mailing Address - Phone:313-989-8572
Mailing Address - Fax:
Practice Address - Street 1:8600 CAMERON ST APT 112
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48211-1205
Practice Address - Country:US
Practice Address - Phone:313-989-8572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-14
Last Update Date:2021-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health