Provider Demographics
NPI:1255916060
Name:ASSISTANCE TO INDEPENDENCE HOME CARE SERVICES
Entity type:Organization
Organization Name:ASSISTANCE TO INDEPENDENCE HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:MUSSELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-898-7941
Mailing Address - Street 1:1830B N SAGINAW RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-6612
Mailing Address - Country:US
Mailing Address - Phone:989-898-7941
Mailing Address - Fax:989-898-7951
Practice Address - Street 1:1830B N SAGINAW RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6612
Practice Address - Country:US
Practice Address - Phone:989-898-7941
Practice Address - Fax:989-898-7951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health