Provider Demographics
NPI:1073781522
Name:WORTHY HOME CARE, L.L.C.
Entity Type:Organization
Organization Name:WORTHY HOME CARE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMIKO
Authorized Official - Middle Name:ADELE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-721-7076
Mailing Address - Street 1:PO BOX 39873
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-0873
Mailing Address - Country:US
Mailing Address - Phone:313-721-7076
Mailing Address - Fax:
Practice Address - Street 1:16700 DOLPHIN ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219-3855
Practice Address - Country:US
Practice Address - Phone:313-721-7076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
MIA536785031017343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)