Provider Demographics
NPI:1992768550
Name:RESIDENTIAL HOME HEALTH, LLC
Entity type:Organization
Organization Name:RESIDENTIAL HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-524-6401
Mailing Address - Street 1:5440 CORPORATE DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-2646
Mailing Address - Country:US
Mailing Address - Phone:866-902-4000
Mailing Address - Fax:888-680-8688
Practice Address - Street 1:5440 CORPORATE DR
Practice Address - Street 2:SUITE 400
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-2646
Practice Address - Country:US
Practice Address - Phone:866-902-4000
Practice Address - Fax:888-680-8688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4490939Medicaid
MIOE919OtherBLUE CROSS NUMBER
MIOE919OtherBLUE CROSS NUMBER