Provider Demographics
NPI:1376250464
Name:WHOLE LIFE HOME CARE
Entity Type:Organization
Organization Name:WHOLE LIFE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MIHUC
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:313-399-5202
Mailing Address - Street 1:23160 BRENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48183-3290
Mailing Address - Country:US
Mailing Address - Phone:313-399-5202
Mailing Address - Fax:
Practice Address - Street 1:15530 MIDDLEBELT RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-3806
Practice Address - Country:US
Practice Address - Phone:734-271-7272
Practice Address - Fax:734-271-7274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-31
Last Update Date:2022-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No347C00000XTransportation ServicesPrivate Vehicle