Provider Demographics
NPI:1417136458
Name:BEST HEALTH HOME CARE SYSTEM, LLC
Entity Type:Organization
Organization Name:BEST HEALTH HOME CARE SYSTEM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SELWYN
Authorized Official - Middle Name:VALENCIA
Authorized Official - Last Name:SAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:586-576-1953
Mailing Address - Street 1:28695 RYAN RD.
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092
Mailing Address - Country:US
Mailing Address - Phone:586-576-1953
Mailing Address - Fax:586-576-1926
Practice Address - Street 1:28695 RYAN RD.
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48092
Practice Address - Country:US
Practice Address - Phone:586-576-1953
Practice Address - Fax:586-576-1926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI239052Medicare Oscar/Certification