Provider Demographics
NPI:1922620988
Name:BIG HEARTS GENTLE HANDS HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:BIG HEARTS GENTLE HANDS HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-575-1970
Mailing Address - Street 1:18500 MARGARETA ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48219-2932
Mailing Address - Country:US
Mailing Address - Phone:313-575-1970
Mailing Address - Fax:
Practice Address - Street 1:18500 MARGARETA ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219-2932
Practice Address - Country:US
Practice Address - Phone:313-575-1970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health