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NPI Code Detail

MEDICARE: ELMHURST HOME, INC.

MEDICARE: ELMHURST HOME, INC.
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
11041C0700XClinical Social Worker
2106H00000XMarriage & Family Therapist
3101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1861194268
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELMHURST HOME, INC.
Provider Business Mailing Address
First Line : 12010 LINWOOD ST
Second Line :
City : DETROIT
State : MI
Zip : 48206-1108
Country : US
Telephone Number : 313-867-1090
Fax Number : 313-867-0706
Provider Business Practice Location Address
First Line : 12010 LINWOOD ST
Second Line :
City : DETROIT
State : MI
Zip : 48206-1108
Country : US
Telephone Number : 313-867-1090
Fax Number : 313-867-0706
Authorized Official
Title or Position : MANAGER
Name : SARINA C ODEN
Credential :
Telephone Number : 313-867-1090
Provider Enumeration Date : 03/20/2023
Last Update Date : 01/13/2026

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Directions to “ELMHURST HOME, INC. ” Practice Location

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