Provider Demographics
NPI:1043214489
Name:SILAS HOME CARE, INC.
Entity Type:Organization
Organization Name:SILAS HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:SILAS
Authorized Official - Suffix:
Authorized Official - Credentials:BSA
Authorized Official - Phone:248-588-0512
Mailing Address - Street 1:32500 CONCORD DRIVE
Mailing Address - Street 2:SUITE 343
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071
Mailing Address - Country:US
Mailing Address - Phone:248-588-0512
Mailing Address - Fax:586-620-6040
Practice Address - Street 1:32500 CONCORD DRIVE
Practice Address - Street 2:SUITE 343
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071
Practice Address - Country:US
Practice Address - Phone:248-588-0512
Practice Address - Fax:586-620-6040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-13
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI237538251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4957708Medicaid
MI237538Medicare ID - Type UnspecifiedHOME HEALTH AGENCY