Provider Demographics
NPI:1518623917
Name:VIABLE HOMECARE SERVICE
Entity Type:Organization
Organization Name:VIABLE HOMECARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMIKA
Authorized Official - Middle Name:JANELLE
Authorized Official - Last Name:DENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-663-5723
Mailing Address - Street 1:5814 GUILFORD ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48224-3817
Mailing Address - Country:US
Mailing Address - Phone:313-264-3452
Mailing Address - Fax:
Practice Address - Street 1:5814 GUILFORD ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48224-3817
Practice Address - Country:US
Practice Address - Phone:313-264-3452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)