Healthcare Provider Details

I. General information

NPI: 1780512285
Provider Name (Legal Business Name): HAYAT SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6329 BEECHFIELD DR
LANSING MI
48911-5736
US

IV. Provider business mailing address

6329 BEECHFIELD DR
LANSING MI
48911-5736
US

V. Phone/Fax

Practice location:
  • Phone: 720-914-5049
  • Fax:
Mailing address:
  • Phone: 720-914-5049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: SUMMER HAGEL AGIB
Title or Position: DIRECTOR/CEO
Credential:
Phone: 720-914-5049