Provider Demographics
NPI:1134128291
Name:EXPERTS IN HOME HEALTH MANAGEMENT, LLC
Entity Type:Organization
Organization Name:EXPERTS IN HOME HEALTH MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:GROWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-440-3453
Mailing Address - Street 1:2884 BIRCHDALE DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-6809
Mailing Address - Country:US
Mailing Address - Phone:586-585-0201
Mailing Address - Fax:586-585-0209
Practice Address - Street 1:19148 E 10 MILE RD
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021
Practice Address - Country:US
Practice Address - Phone:586-585-0201
Practice Address - Fax:586-585-0209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-20
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI237277251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0E881OtherMI BLUE CROSS BLUE SHIELD
MI3169291Medicaid
MI237277Medicare PIN