Provider Demographics
NPI:1669255246
Name:TMG HOME HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:TMG HOME HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAJUANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCRIGHT-GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:313-401-6454
Mailing Address - Street 1:20300 ROSEMONT AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48219-1569
Mailing Address - Country:US
Mailing Address - Phone:313-401-6454
Mailing Address - Fax:
Practice Address - Street 1:20300 ROSEMONT AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219-1569
Practice Address - Country:US
Practice Address - Phone:313-401-6454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty