Provider Demographics
NPI:1164841433
Name:HOME WITH A HEART,LLC.
Entity Type:Organization
Organization Name:HOME WITH A HEART,LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORINE
Authorized Official - Middle Name:LASHONDA
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-625-6513
Mailing Address - Street 1:2506 EDISON ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48206-2070
Mailing Address - Country:US
Mailing Address - Phone:586-625-6513
Mailing Address - Fax:
Practice Address - Street 1:2506 EDISON ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48206-2070
Practice Address - Country:US
Practice Address - Phone:586-625-6513
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health