MEDICARE: R.U.S.H SERVICING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1104636364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R.U.S.H SERVICING LLC

Provider Business Mailing Address
First Line	:	29777 TELEGRAPH RD STE 4200
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48034-1303
Country	:	US
Telephone Number	:	586-344-4553
Fax Number	:

Provider Business Practice Location Address
First Line	:	10620 LAKEPOINTE ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48224-2402
Country	:	US
Telephone Number	:	586-215-1574
Fax Number	:

Authorized Official
Title or Position	:	CEO/FOUNDER RUSH
Name	:	MS. SONITA D LEWIS
Credential	:
Telephone Number	:	586-344-4553

Provider Enumeration Date	:	01/09/2025
Last Update Date	:	01/09/2025

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