Healthcare Provider Details

I. General information

NPI: 1841053162
Provider Name (Legal Business Name): HOFMANN IN HOME HELP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2024
Last Update Date: 02/09/2024
Certification Date: 02/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13616 NEW MILLPOND RD
BIG RAPIDS MI
49307-9017
US

IV. Provider business mailing address

13616 NEW MILLPOND RD
BIG RAPIDS MI
49307-9017
US

V. Phone/Fax

Practice location:
  • Phone: 231-580-3360
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MIKALA JOY HOFAMNN
Title or Position: PRESIDENT
Credential:
Phone: 231-580-3350