Provider Demographics
NPI:1003382573
Name:D1 HEALTH CARE LLC
Entity Type:Organization
Organization Name:D1 HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCOWAN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:313-598-5012
Mailing Address - Street 1:11646 HEYDEN ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48228-1047
Mailing Address - Country:US
Mailing Address - Phone:313-598-5012
Mailing Address - Fax:
Practice Address - Street 1:209 SHADOW WOOD PL
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1402
Practice Address - Country:US
Practice Address - Phone:313-598-5012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care