Provider Demographics
NPI:1407095706
Name:COMMITTED HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:COMMITTED HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GIGI
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:248-233-0659
Mailing Address - Street 1:PO BOX 99705
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48099-9705
Mailing Address - Country:US
Mailing Address - Phone:248-433-8044
Mailing Address - Fax:248-443-8033
Practice Address - Street 1:15800 PROVIDENCE DR
Practice Address - Street 2:SUITE 400
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-3145
Practice Address - Country:US
Practice Address - Phone:248-443-8044
Practice Address - Fax:248-443-8033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI23-9040Medicare PIN