Provider Demographics
NPI:1376258772
Name:HONEST HOME HEALTH CARE
Entity Type:Organization
Organization Name:HONEST HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL ASISSTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARMIN
Authorized Official - Middle Name:LATOYA
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:734-833-1830
Mailing Address - Street 1:22305 TELEGRAPH RD # 42
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-4208
Mailing Address - Country:US
Mailing Address - Phone:734-833-1830
Mailing Address - Fax:313-861-8922
Practice Address - Street 1:22305 TELEGRAPH RD # 42
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-4208
Practice Address - Country:US
Practice Address - Phone:734-833-1830
Practice Address - Fax:313-861-8922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health