Provider Demographics
NPI:1053676353
Name:R&R IN-HOME HEALTH CAREE
Entity Type:Organization
Organization Name:R&R IN-HOME HEALTH CAREE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-254-2838
Mailing Address - Street 1:10870 HIGHLAND RD
Mailing Address - Street 2:APT 106
Mailing Address - City:WHITE LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48386-2100
Mailing Address - Country:US
Mailing Address - Phone:248-254-2838
Mailing Address - Fax:
Practice Address - Street 1:10870 HIGHLAND RD
Practice Address - Street 2:APT 106
Practice Address - City:WHITE LAKE
Practice Address - State:MI
Practice Address - Zip Code:48386-2100
Practice Address - Country:US
Practice Address - Phone:248-254-2838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIR400599210232302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization