Provider Demographics
NPI:1346001534
Name:SR HOME CARE SERVICE LLC
Entity Type:Organization
Organization Name:SR HOME CARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMON
Authorized Official - Middle Name:
Authorized Official - Last Name:PABEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-327-9555
Mailing Address - Street 1:27488 BRISTOL DR
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-3003
Mailing Address - Country:US
Mailing Address - Phone:313-327-9555
Mailing Address - Fax:
Practice Address - Street 1:27488 BRISTOL DR
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48092-3003
Practice Address - Country:US
Practice Address - Phone:313-327-9555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care