Provider Demographics
NPI:1982592366
Name:HARBOR HOSPICE CARE LLC
Entity type:Organization
Organization Name:HARBOR HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEFALI
Authorized Official - Middle Name:
Authorized Official - Last Name:THAKER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:810-765-7144
Mailing Address - Street 1:3058 METROPOLITAN PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-3600
Mailing Address - Country:US
Mailing Address - Phone:810-765-7144
Mailing Address - Fax:810-765-9295
Practice Address - Street 1:3058 METROPOLITAN PKWY STE 103
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-3600
Practice Address - Country:US
Practice Address - Phone:810-765-7144
Practice Address - Fax:810-765-9295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based