Provider Demographics
NPI:1477936367
Name:TRILOGY HOME HEALTH VENTURE LLC - RIGHT AT HOME - CENTRAL MICHIGAN
Entity Type:Organization
Organization Name:TRILOGY HOME HEALTH VENTURE LLC - RIGHT AT HOME - CENTRAL MICHIGAN
Other - Org Name:RIGHT AT HOME OF CENTRAL MICHIGAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:PAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MBA
Authorized Official - Phone:810-225-4724
Mailing Address - Street 1:734 W GRAND RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-2392
Mailing Address - Country:US
Mailing Address - Phone:810-225-4724
Mailing Address - Fax:810-225-6014
Practice Address - Street 1:734 W GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-2392
Practice Address - Country:US
Practice Address - Phone:810-225-4724
Practice Address - Fax:810-225-6014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-09
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MINONE REQUIRED253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care