Healthcare Provider Details

I. General information

NPI: 1043214489
Provider Name (Legal Business Name): SILAS HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 10/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32500 CONCORD DRIVE SUITE 343
MADISON HEIGHTS MI
48071
US

IV. Provider business mailing address

32500 CONCORD DRIVE SUITE 343
MADISON HEIGHTS MI
48071
US

V. Phone/Fax

Practice location:
  • Phone: 248-588-0512
  • Fax: 586-620-6040
Mailing address:
  • Phone: 248-588-0512
  • Fax: 586-620-6040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number237538
License Number StateMI

VIII. Authorized Official

Name: MR. ROBIN E SILAS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: BSA
Phone: 248-588-0512