Provider Demographics
NPI:1174096689
Name:HUMANISTIC CARE, LLC
Entity type:Organization
Organization Name:HUMANISTIC CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:LAQUISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-747-1396
Mailing Address - Street 1:24062 MERRILYN CT
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48336-2332
Mailing Address - Country:US
Mailing Address - Phone:248-747-1396
Mailing Address - Fax:
Practice Address - Street 1:23332 FARMINGTON RD
Practice Address - Street 2:SUITE 802
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48336-2332
Practice Address - Country:US
Practice Address - Phone:248-747-1396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-08
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care