Provider Demographics
NPI:1497552269
Name:VETTED LLC
Entity type:Organization
Organization Name:VETTED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EVAN
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:SHELLINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-794-9292
Mailing Address - Street 1:2125 BUTTERFIELD DR STE 299
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-3441
Mailing Address - Country:US
Mailing Address - Phone:248-794-9292
Mailing Address - Fax:248-528-2646
Practice Address - Street 1:2125 BUTTERFIELD DR STE 299
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-3441
Practice Address - Country:US
Practice Address - Phone:248-794-9292
Practice Address - Fax:248-528-2646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty