Provider Demographics
NPI:1639353931
Name:DENBOS CARE SERVICES, INC.
Entity Type:Organization
Organization Name:DENBOS CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BOSE
Authorized Official - Middle Name:J
Authorized Official - Last Name:OJEMUDIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-229-5299
Mailing Address - Street 1:25561 BRIARWYKE DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-1656
Mailing Address - Country:US
Mailing Address - Phone:248-229-5299
Mailing Address - Fax:248-552-9179
Practice Address - Street 1:25561 BRIARWYKE DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-1656
Practice Address - Country:US
Practice Address - Phone:248-996-6192
Practice Address - Fax:248-552-9179
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:N/A
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-21
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI23-9150251E00000X
MI00413J251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI00413JMedicaid
MI00413JMedicaid