Healthcare Provider Details

I. General information

NPI: 1174110258
Provider Name (Legal Business Name): HILL-SERVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2020
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2240 E HILL RD STE A
GRAND BLANC MI
48439-5420
US

IV. Provider business mailing address

150 LILY VALLEY DR
SALINE MI
48176-8712
US

V. Phone/Fax

Practice location:
  • Phone: 810-232-2433
  • Fax:
Mailing address:
  • Phone: 734-476-0099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT HILL
Title or Position: OWNER
Credential:
Phone: 734-476-0099