Provider Demographics
NPI:1801237631
Name:SOMETHING SPECIAL HOME CARE & ASSISTED SERVICES, INC.
Entity type:Organization
Organization Name:SOMETHING SPECIAL HOME CARE & ASSISTED SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:GALL
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:989-486-9557
Mailing Address - Street 1:5103 EASTMAN AVE
Mailing Address - Street 2:SUITE 147
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-6785
Mailing Address - Country:US
Mailing Address - Phone:989-486-9557
Mailing Address - Fax:989-486-9556
Practice Address - Street 1:5103 EASTMAN AVE
Practice Address - Street 2:SUITE 147
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6785
Practice Address - Country:US
Practice Address - Phone:989-486-9557
Practice Address - Fax:989-486-9556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-09
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care