Provider Demographics
NPI:1639129067
Name:CARLIN EMPLOYMENT SERVICES INC.
Entity Type:Organization
Organization Name:CARLIN EMPLOYMENT SERVICES INC.
Other - Org Name:CRYSTAL HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MCPHERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-493-4900
Mailing Address - Street 1:15819 SCHOOLCRAFT ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48227-1749
Mailing Address - Country:US
Mailing Address - Phone:313-493-4900
Mailing Address - Fax:313-493-4904
Practice Address - Street 1:15819 SCHOOLCRAFT ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48227-1749
Practice Address - Country:US
Practice Address - Phone:313-493-4900
Practice Address - Fax:313-493-4904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2093OtherCAPE
MI4436827Medicaid
MI16894OtherGREAT LAKES
MI110000OtherBLE CROSS BLUE SHIELD
MI110000OtherBLE CROSS BLUE SHIELD