Provider Demographics
NPI:1295414894
Name:HOME IS WHERE THE HEART IS HOMECARE LLC
Entity type:Organization
Organization Name:HOME IS WHERE THE HEART IS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-932-0848
Mailing Address - Street 1:15785 CHERRYLAWN ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48238-1142
Mailing Address - Country:US
Mailing Address - Phone:313-932-0848
Mailing Address - Fax:
Practice Address - Street 1:15785 CHERRYLAWN ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48238-1142
Practice Address - Country:US
Practice Address - Phone:313-932-0848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care