Provider Demographics
NPI:1336703701
Name:ICARE HOME HELP, LLC
Entity Type:Organization
Organization Name:ICARE HOME HELP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LALITA
Authorized Official - Middle Name:R
Authorized Official - Last Name:TOLIVER-CLEGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-773-2514
Mailing Address - Street 1:220 OAKBROOKE DR UNIT 2
Mailing Address - Street 2:
Mailing Address - City:SOUTH LYON
Mailing Address - State:MI
Mailing Address - Zip Code:48178-1834
Mailing Address - Country:US
Mailing Address - Phone:248-773-2514
Mailing Address - Fax:248-278-6129
Practice Address - Street 1:220 OAKBROOKE DR UNIT 2
Practice Address - Street 2:
Practice Address - City:SOUTH LYON
Practice Address - State:MI
Practice Address - Zip Code:48178-1834
Practice Address - Country:US
Practice Address - Phone:248-773-2514
Practice Address - Fax:248-278-6129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health