Provider Demographics
NPI:1992770135
Name:C&S HOME HEALTH CARE SERVICES,LLC
Entity type:Organization
Organization Name:C&S HOME HEALTH CARE SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHATERIA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:313-417-2247
Mailing Address - Street 1:19678 HARPER AVE
Mailing Address - Street 2:SUIT 201
Mailing Address - City:GROSSE POINTE WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-1966
Mailing Address - Country:US
Mailing Address - Phone:313-417-2247
Mailing Address - Fax:
Practice Address - Street 1:19678 HARPER AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:GROSSE POINTE WOODS
Practice Address - State:MI
Practice Address - Zip Code:48236-1966
Practice Address - Country:US
Practice Address - Phone:313-417-2247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237521Medicare ID - Type Unspecified