Provider Demographics
NPI:1962658112
Name:AIMM HOME HEALTHCARE, INC.
Entity type:Organization
Organization Name:AIMM HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LANA
Authorized Official - Middle Name:DELA CRUZ
Authorized Official - Last Name:LLENA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-542-4303
Mailing Address - Street 1:4086 ROCHESTER ROAD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-4945
Mailing Address - Country:US
Mailing Address - Phone:248-542-4303
Mailing Address - Fax:248-542-4309
Practice Address - Street 1:4086 ROCHESTER ROAD
Practice Address - Street 2:SUITE 204
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-4945
Practice Address - Country:US
Practice Address - Phone:248-542-4303
Practice Address - Fax:248-542-4309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI239107Medicare Oscar/Certification