Healthcare Provider Details

I. General information

NPI: 1164829008
Provider Name (Legal Business Name): RIGHT AT HOME OF SOUTHEASTERN MICHIGAN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2014
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2059 N MONROE ST STE 2B
MONROE MI
48162-5322
US

IV. Provider business mailing address

2059 N MONROE ST STE 2B
MONROE MI
48162-5322
US

V. Phone/Fax

Practice location:
  • Phone: 734-240-4974
  • Fax: 734-240-4976
Mailing address:
  • Phone: 734-240-4974
  • Fax: 734-240-4976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. KIMBERLY KAY SEXTON
Title or Position: PRESIDENT
Credential: BA
Phone: 734-558-0413