Provider Demographics
NPI:1760911036
Name:HOMEJOY OF GENESEE & LAPEER COUNTY LLC
Entity Type:Organization
Organization Name:HOMEJOY OF GENESEE & LAPEER COUNTY LLC
Other - Org Name:DAVISON CARE N ASSIST
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:E
Authorized Official - Last Name:GOLDEN
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:810-423-1432
Mailing Address - Street 1:1044 N IRISH RD
Mailing Address - Street 2:
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-3181
Mailing Address - Country:US
Mailing Address - Phone:877-743-4434
Mailing Address - Fax:810-412-5565
Practice Address - Street 1:1044 NORTH IRISH
Practice Address - Street 2:
Practice Address - City:DAVISON
Practice Address - State:MI
Practice Address - Zip Code:48423
Practice Address - Country:US
Practice Address - Phone:877-743-4434
Practice Address - Fax:810-412-5565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No174200000XOther Service ProvidersMeals
No385H00000XRespite Care FacilityRespite Care