Provider Demographics
NPI:1356410328
Name:ONYX HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:ONYX HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-864-5060
Mailing Address - Street 1:16633 LIVERNOIS AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48221-3098
Mailing Address - Country:US
Mailing Address - Phone:313-864-5060
Mailing Address - Fax:313-864-5090
Practice Address - Street 1:16633 LIVERNOIS AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-3098
Practice Address - Country:US
Practice Address - Phone:313-864-5060
Practice Address - Fax:313-864-5090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health