Provider Demographics
NPI:1518073303
Name:PERSONAL HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:PERSONAL HOME CARE SERVICES, INC.
Other - Org Name:PERSONAL HOME CARE INFUSION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:WHITING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:586-725-3322
Mailing Address - Street 1:32743 23 MILE RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48047-1985
Mailing Address - Country:US
Mailing Address - Phone:586-725-3322
Mailing Address - Fax:800-241-0074
Practice Address - Street 1:32743 23 MILE RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MI
Practice Address - Zip Code:48047-1985
Practice Address - Country:US
Practice Address - Phone:800-241-3434
Practice Address - Fax:800-241-0074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251F00000X
MI5301005257332BP3500X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251F00000XAgenciesHome Infusion
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4834987Medicaid
MI237172OtherHEALTH ALLIANCE PLAN
MI2676154Medicaid
MI6729OtherGREAT LAKES HEALTH PLAN
MIHH500011OtherMCARE
MI5614100001Medicare NSC