Provider Demographics
NPI:1457129405
Name:COMMONWEALTH HOME HEALTH NETWORK
Entity Type:Organization
Organization Name:COMMONWEALTH HOME HEALTH NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:GUSS-AYENI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:586-239-0263
Mailing Address - Street 1:22800 HALL RD STE 800
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-4805
Mailing Address - Country:US
Mailing Address - Phone:586-239-0263
Mailing Address - Fax:
Practice Address - Street 1:7105 ALLEN RD UPPR LEVEL
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-2009
Practice Address - Country:US
Practice Address - Phone:586-239-0263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health