Provider Demographics
NPI:1164829008
Name:RIGHT AT HOME OF SOUTHEASTERN MICHIGAN, INC.
Entity Type:Organization
Organization Name:RIGHT AT HOME OF SOUTHEASTERN MICHIGAN, INC.
Other - Org Name:RIGHT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SEXTON
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:734-558-0413
Mailing Address - Street 1:2059 N MONROE ST STE 2B
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-5322
Mailing Address - Country:US
Mailing Address - Phone:734-240-4974
Mailing Address - Fax:734-240-4976
Practice Address - Street 1:2059 N MONROE ST STE 2B
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-5322
Practice Address - Country:US
Practice Address - Phone:734-240-4974
Practice Address - Fax:734-240-4976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
164W00000X, 251E00000X, 374U00000X, 376J00000X, 376K00000X
MI372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty