Provider Demographics
NPI:1609067172
Name:VISITING NURSE HOME SUPPORT SERVICES
Entity Type:Organization
Organization Name:VISITING NURSE HOME SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLYCROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-967-9620
Mailing Address - Street 1:25900 GREENFIELD RD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-1292
Mailing Address - Country:US
Mailing Address - Phone:248-967-1440
Mailing Address - Fax:248-967-8761
Practice Address - Street 1:25900 GREENFIELD RD
Practice Address - Street 2:SUITE 600
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-1292
Practice Address - Country:US
Practice Address - Phone:248-967-1440
Practice Address - Fax:248-967-8761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies