Healthcare Provider Details

I. General information

NPI: 1497370951
Provider Name (Legal Business Name): HRS HOME HEALTH OF MICHIGAN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2020
Last Update Date: 05/02/2024
Certification Date: 05/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27355 JOHN R RD
MADISON HEIGHTS MI
48071-3300
US

IV. Provider business mailing address

17855 DALLAS PKWY STE 200
DALLAS TX
75287-6857
US

V. Phone/Fax

Practice location:
  • Phone: 313-482-9740
  • Fax: 313-788-1134
Mailing address:
  • Phone: 940-220-2074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: HEATHER SISCEL
Title or Position: VP LEGAL
Credential:
Phone: 313-482-9740