Provider Demographics
NPI:1356452080
Name:A HOME NURSE, LLC
Entity Type:Organization
Organization Name:A HOME NURSE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-886-1199
Mailing Address - Street 1:1370 N OAKLAND BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48327-4525
Mailing Address - Country:US
Mailing Address - Phone:248-886-1199
Mailing Address - Fax:248-886-8141
Practice Address - Street 1:1370 N OAKLAND BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48327-4525
Practice Address - Country:US
Practice Address - Phone:248-886-1199
Practice Address - Fax:248-886-8141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health