Provider Demographics
NPI:1518305887
Name:PRO HOMECARE LLC
Entity Type:Organization
Organization Name:PRO HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-464-3538
Mailing Address - Street 1:7077 FIELDCREST DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-8355
Mailing Address - Country:US
Mailing Address - Phone:248-912-7638
Mailing Address - Fax:734-464-3538
Practice Address - Street 1:7077 FIELDCREST DR
Practice Address - Street 2:SUITE 201
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-8355
Practice Address - Country:US
Practice Address - Phone:248-912-7638
Practice Address - Fax:734-464-3538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-10
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MID4766NOtherSTATE OF MICHIGAN