Provider Demographics
NPI:1174704563
Name:SHARED SERVICES HOME HEALTH CARE CORPORATION
Entity type:Organization
Organization Name:SHARED SERVICES HOME HEALTH CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-355-9985
Mailing Address - Street 1:400 W RUSSELL ST STE 400
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-1183
Mailing Address - Country:US
Mailing Address - Phone:734-222-4037
Mailing Address - Fax:734-622-8297
Practice Address - Street 1:400 W RUSSELL ST
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1183
Practice Address - Country:US
Practice Address - Phone:734-222-4037
Practice Address - Fax:734-622-8297
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EVANGELICAL HOMES OF MICHIGAN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-14
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237157Medicare Oscar/Certification