=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972315117
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NICHOLSON HILL GROUP LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/24/2025
-----------------------------------------------------
Last Update Date | 01/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2160 SOUTH HURON PARKWAY SUITE 4
-----------------------------------------------------
City | ANN ARBOR
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48104
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 734-971-9023
-----------------------------------------------------
Fax | 734-971-9024
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2160 SOUTH HURON PARKWAY SUITE 4
-----------------------------------------------------
City | ANN ARBOR
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48104
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 734-971-9023
-----------------------------------------------------
Fax | 734-971-9024
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | GENERAL MANAGER
-----------------------------------------------------
Name | SOHEYLA MARZBAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 734-971-9023
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------