Provider Demographics
NPI:1568675460
Name:DSN HOME CARE, LLC
Entity Type:Organization
Organization Name:DSN HOME CARE, LLC
Other - Org Name:HEALTHMAP HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:DREW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-361-3106
Mailing Address - Street 1:1790 LIVERNOIS ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1729
Mailing Address - Country:US
Mailing Address - Phone:248-457-9305
Mailing Address - Fax:248-519-0301
Practice Address - Street 1:1790 LIVERNOIS ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-1729
Practice Address - Country:US
Practice Address - Phone:248-457-9305
Practice Address - Fax:248-519-0301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237751Medicare Oscar/Certification