Vip Home Help Care LLC
Organization Active NPI In Home Supportive Care Agency · Deroit, MI
NPI 1265722649 · NPPES record last updated Apr 19, 2011
Key facts
- NPI
- 1265722649
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- VIP HOME HELP CARE LLC
- Practice address
- 17801 Rowe St
Deroit, MI 48205 - Phone
- (313) 268-5424
- NPI assigned
- Apr 19, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Jon Kent Ethridge II
- Title
- President
- Phone
- (313) 268-5424
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
17801 Rowe St
Deroit, MI 48205
Mailing address
17801 Rowe St
Detroit, MI 48205-3125
Phone (313) 268-5424
Other providers in Deroit, MI
All providers in Deroit, MI · In Home Supportive Care Agency in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.