Provider Demographics
NPI:1912203159
Name:PAR FOUR HOLDINGS, LLC
Entity Type:Organization
Organization Name:PAR FOUR HOLDINGS, LLC
Other - Org Name:SENIOR HELPERS OF NORTHERN MICHIGAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CLIENT CARE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-933-6600
Mailing Address - Street 1:415 S ELMWOOD AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-2387
Mailing Address - Country:US
Mailing Address - Phone:231-933-6600
Mailing Address - Fax:231-933-6190
Practice Address - Street 1:415 S ELMWOOD AVE
Practice Address - Street 2:SUITE A
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-2387
Practice Address - Country:US
Practice Address - Phone:231-933-6600
Practice Address - Fax:231-933-6190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care