Provider Demographics
NPI:1295732956
Name:CONCERNED HOME CARE INC
Entity type:Organization
Organization Name:CONCERNED HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMELIN JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:TAN
Authorized Official - Suffix:
Authorized Official - Credentials:BSN RN CEO
Authorized Official - Phone:989-479-3101
Mailing Address - Street 1:PO BOX 110
Mailing Address - Street 2:136 N FIRST ST
Mailing Address - City:HARBOR BEACH
Mailing Address - State:MI
Mailing Address - Zip Code:48441-0110
Mailing Address - Country:US
Mailing Address - Phone:989-479-3101
Mailing Address - Fax:989-479-3529
Practice Address - Street 1:136 N FIRST ST
Practice Address - Street 2:
Practice Address - City:HARBOR BEACH
Practice Address - State:MI
Practice Address - Zip Code:48441-1101
Practice Address - Country:US
Practice Address - Phone:989-479-3101
Practice Address - Fax:989-479-3529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI125072OtherGREAT LAKES
MI3212543Medicaid
MIOE808OtherBLUE CROSS BLUE SHIELD
MI237282Medicare ID - Type Unspecified