Healthcare Provider Details

I. General information

NPI: 1245037548
Provider Name (Legal Business Name): SRG HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 W. BIG BEAVER ROAD SUITE 2020, DEDICATED OFFICE #136
TROY MI
48084
US

IV. Provider business mailing address

755 W BIG BEAVER RD STE 2020
TROY MI
48084-4925
US

V. Phone/Fax

Practice location:
  • Phone: 248-432-1987
  • Fax:
Mailing address:
  • Phone: 248-432-1987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ROMAN OFFENGEYM
Title or Position: PRESIDENT
Credential:
Phone: 248-432-1987