Provider Demographics
NPI:1609309509
Name:HOME HEALTH MI LLC
Entity Type:Organization
Organization Name:HOME HEALTH MI LLC
Other - Org Name:HOME HEALTH MI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NILUPA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-353-9257
Mailing Address - Street 1:49633 LEHR DR
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-1750
Mailing Address - Country:US
Mailing Address - Phone:313-353-9257
Mailing Address - Fax:
Practice Address - Street 1:49633 LEHR DR
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-1750
Practice Address - Country:US
Practice Address - Phone:313-353-9257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-07
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health