Provider Demographics
NPI:1093583791
Name:MATTHEW'S ENDLESS POSSIBILITIES LLC
Entity Type:Organization
Organization Name:MATTHEW'S ENDLESS POSSIBILITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:RANESHA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-595-0312
Mailing Address - Street 1:29300 WOODWARD AVE APT 119
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-0960
Mailing Address - Country:US
Mailing Address - Phone:313-595-0312
Mailing Address - Fax:
Practice Address - Street 1:29300 WOODWARD AVE APT 119
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-0960
Practice Address - Country:US
Practice Address - Phone:313-595-0312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health