Provider Demographics
NPI:1366211930
Name:COLLINS CARE CONSULTING, LLC
Entity type:Organization
Organization Name:COLLINS CARE CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLY
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-701-0854
Mailing Address - Street 1:24123 GREENFIELD RD STE 306
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-3124
Mailing Address - Country:US
Mailing Address - Phone:248-701-0854
Mailing Address - Fax:586-283-0284
Practice Address - Street 1:24123 GREENFIELD RD STE 306
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-3124
Practice Address - Country:US
Practice Address - Phone:248-701-0854
Practice Address - Fax:586-283-0284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-25
Last Update Date:2023-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health