Provider Demographics
NPI:1578986303
Name:A CHANGE OF SEASONS HOME HEALTH CARE, LLC.
Entity Type:Organization
Organization Name:A CHANGE OF SEASONS HOME HEALTH CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:BRAUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-378-8181
Mailing Address - Street 1:8201 PORT AUSTIN RD
Mailing Address - Street 2:
Mailing Address - City:PIGEON
Mailing Address - State:MI
Mailing Address - Zip Code:48755-9633
Mailing Address - Country:US
Mailing Address - Phone:800-378-8181
Mailing Address - Fax:
Practice Address - Street 1:8201 PORT AUSTIN RD
Practice Address - Street 2:
Practice Address - City:PIGEON
Practice Address - State:MI
Practice Address - Zip Code:48755-9633
Practice Address - Country:US
Practice Address - Phone:800-378-8181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-30
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health