Provider Demographics
NPI:1962180539
Name:HOPE HOME CARE OF MICHIGAN, LLC
Entity type:Organization
Organization Name:HOPE HOME CARE OF MICHIGAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHUAB
Authorized Official - Middle Name:
Authorized Official - Last Name:MIAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-399-7838
Mailing Address - Street 1:6827 BLACKWELL
Mailing Address - Street 2:
Mailing Address - City:SHELBY TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48317-6322
Mailing Address - Country:US
Mailing Address - Phone:313-399-7838
Mailing Address - Fax:888-755-7186
Practice Address - Street 1:6827 BLACKWELL
Practice Address - Street 2:
Practice Address - City:SHELBY TWP
Practice Address - State:MI
Practice Address - Zip Code:48317-6322
Practice Address - Country:US
Practice Address - Phone:313-399-7838
Practice Address - Fax:888-755-7186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care