Provider Demographics
NPI:1407964414
Name:HOME CARE SOLUTIONS II, LLC
Entity Type:Organization
Organization Name:HOME CARE SOLUTIONS II, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLESKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-626-6100
Mailing Address - Street 1:30275 W 13 MILE RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-5602
Mailing Address - Country:US
Mailing Address - Phone:248-538-4000
Mailing Address - Fax:248-538-4009
Practice Address - Street 1:30275 W 13 MILE RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-5602
Practice Address - Country:US
Practice Address - Phone:248-538-4000
Practice Address - Fax:248-538-4009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4803111Medicaid
MI480311Medicaid
MI4803111Medicaid