Provider Demographics
NPI:1255657078
Name:NURSES HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:NURSES HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:RUCKER
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:989-366-1477
Mailing Address - Street 1:141 OAK MARR DR
Mailing Address - Street 2:
Mailing Address - City:HOUGHTON LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48629-9006
Mailing Address - Country:US
Mailing Address - Phone:989-366-1477
Mailing Address - Fax:989-366-9958
Practice Address - Street 1:141 OAK MARR DR
Practice Address - Street 2:
Practice Address - City:HOUGHTON LAKE
Practice Address - State:MI
Practice Address - Zip Code:48629-9006
Practice Address - Country:US
Practice Address - Phone:989-366-1477
Practice Address - Fax:989-366-9958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health