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NPI Code Detail

MEDICARE: HOME WITH A HEART,LLC.

MEDICARE: HOME WITH A HEART,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
1251E00000XHome Health AgencyMI

General Provider Information

NPI Number : 1164841433
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME WITH A HEART,LLC.
Provider Business Mailing Address
First Line : 2506 EDISON ST
Second Line :
City : DETROIT
State : MI
Zip : 48206-2070
Country : US
Telephone Number : 586-625-6513
Fax Number :
Provider Business Practice Location Address
First Line : 2506 EDISON ST
Second Line :
City : DETROIT
State : MI
Zip : 48206-2070
Country : US
Telephone Number : 586-625-6513
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LORINE LASHONDA ROSS
Credential :
Telephone Number : 586-625-6513
Provider Enumeration Date : 04/15/2014
Last Update Date : 04/15/2014

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Directions to “HOME WITH A HEART,LLC. ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.