Provider Demographics
NPI:1548430408
Name:HEALTH COORDINATOR, LLC
Entity Type:Organization
Organization Name:HEALTH COORDINATOR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MADELINA
Authorized Official - Middle Name:IVY
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-423-5090
Mailing Address - Street 1:28840 SOUTHFIELD RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:LATHRUP VILLAGE
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2730
Mailing Address - Country:US
Mailing Address - Phone:248-423-5090
Mailing Address - Fax:248-423-5092
Practice Address - Street 1:28840 SOUTHFIELD RD
Practice Address - Street 2:SUITE 140
Practice Address - City:LATHRUP VILLAGE
Practice Address - State:MI
Practice Address - Zip Code:48076-2730
Practice Address - Country:US
Practice Address - Phone:248-423-5090
Practice Address - Fax:248-423-5092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health