Provider Demographics
NPI:1528227329
Name:HEALING HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:HEALING HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:LAING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-212-0818
Mailing Address - Street 1:30600 NORTHWESTERN HWY STE 245A
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3161
Mailing Address - Country:US
Mailing Address - Phone:248-212-0818
Mailing Address - Fax:248-479-8126
Practice Address - Street 1:24755 5 MILE RD
Practice Address - Street 2:SUITE# 205
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3665
Practice Address - Country:US
Practice Address - Phone:313-535-7371
Practice Address - Fax:313-535-7391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-06
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI239070Medicare Oscar/Certification