Provider Demographics
NPI:1891367637
Name:DESIGN HOME HEALTHCARE L.L.C
Entity Type:Organization
Organization Name:DESIGN HOME HEALTHCARE L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANG
Authorized Official - Suffix:
Authorized Official - Credentials:EDS
Authorized Official - Phone:810-785-9939
Mailing Address - Street 1:6617 DUPONT ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48505-2073
Mailing Address - Country:US
Mailing Address - Phone:810-785-9939
Mailing Address - Fax:
Practice Address - Street 1:615 S SAGINAW ST
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48502-1505
Practice Address - Country:US
Practice Address - Phone:810-869-8112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
8341546OtherMICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES