Provider Demographics
NPI:1831312511
Name:HOME HEALTH SERVICES UNLIMITED INC.
Entity Type:Organization
Organization Name:HOME HEALTH SERVICES UNLIMITED INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GERARDO
Authorized Official - Middle Name:B
Authorized Official - Last Name:CARBONELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-398-3338
Mailing Address - Street 1:28091 DEQUINDRE RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-3047
Mailing Address - Country:US
Mailing Address - Phone:248-398-3338
Mailing Address - Fax:248-398-6505
Practice Address - Street 1:28091 DEQUINDRE RD
Practice Address - Street 2:SUITE 203
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3047
Practice Address - Country:US
Practice Address - Phone:248-398-3338
Practice Address - Fax:248-398-6505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI23-7637251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI23-7637Medicare ID - Type Unspecified