Provider Demographics
NPI:1497395727
Name:ALL HOMECARE SERVICES, LLC
Entity Type:Organization
Organization Name:ALL HOMECARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TOMMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-539-4160
Mailing Address - Street 1:PO BOX 862
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:MI
Mailing Address - Zip Code:49120-0862
Mailing Address - Country:US
Mailing Address - Phone:269-539-4160
Mailing Address - Fax:
Practice Address - Street 1:130 N PAW PAW ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MI
Practice Address - Zip Code:49064-9334
Practice Address - Country:US
Practice Address - Phone:269-539-4160
Practice Address - Fax:269-539-4161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-15
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI9101789Medicaid