Healthcare Provider Details

I. General information

NPI: 1235014697
Provider Name (Legal Business Name): EMINENT HEALTH IN-HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 01/18/2026
Certification Date: 01/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4455 MOUNT VERNON PASS
SWARTZ CREEK MI
48473-8237
US

IV. Provider business mailing address

G4205 FENTON RD # 130
BURTON MI
48529-1528
US

V. Phone/Fax

Practice location:
  • Phone: 810-931-9797
  • Fax:
Mailing address:
  • Phone: 810-771-5192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SHIKIARY LITTLE-HYATT
Title or Position: CEO
Credential: LPN
Phone: 810-931-9797