Provider Demographics
NPI:1184184616
Name:MINGO ENTERPRISE LLC
Entity Type:Organization
Organization Name:MINGO ENTERPRISE LLC
Other - Org Name:LORRAINES CARING HANDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:202-751-5731
Mailing Address - Street 1:51395 WEST END DRIVE
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-1956
Mailing Address - Country:US
Mailing Address - Phone:202-751-5731
Mailing Address - Fax:
Practice Address - Street 1:32969 HAMILTON CT STE 118
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3360
Practice Address - Country:US
Practice Address - Phone:443-764-9454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-21
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No174200000XOther Service ProvidersMeals
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No332U00000XSuppliersHome Delivered Meals