Provider Demographics
NPI:1508407933
Name:CONCIERGE HOME HEALTH COMPANY
Entity Type:Organization
Organization Name:CONCIERGE HOME HEALTH COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/AGENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BRINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-600-1594
Mailing Address - Street 1:2355 HEALTH DR SW STE 120
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49519-9502
Mailing Address - Country:US
Mailing Address - Phone:616-600-1594
Mailing Address - Fax:
Practice Address - Street 1:2355 HEALTH DR SW STE 120
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49519-9502
Practice Address - Country:US
Practice Address - Phone:616-600-1594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-07
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health