Provider Demographics
NPI:1639474539
Name:HOME CARE BY DESIGN INC.
Entity Type:Organization
Organization Name:HOME CARE BY DESIGN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:CONSUELO
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CCM
Authorized Official - Phone:616-284-7359
Mailing Address - Street 1:PO BOX 41
Mailing Address - Street 2:
Mailing Address - City:COMSTOCK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:49321-0041
Mailing Address - Country:US
Mailing Address - Phone:616-284-7359
Mailing Address - Fax:866-810-8049
Practice Address - Street 1:678 4 MILE RD NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-2106
Practice Address - Country:US
Practice Address - Phone:616-284-7359
Practice Address - Fax:866-810-8049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-24
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N/A251B00000X, 251E00000X, 251G00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care