Provider Demographics
NPI:1801638937
Name:BUTTERFLIES BLOOMING HOME CARE
Entity type:Organization
Organization Name:BUTTERFLIES BLOOMING HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-836-1421
Mailing Address - Street 1:2061 WILMAR ST
Mailing Address - Street 2:
Mailing Address - City:BURTON
Mailing Address - State:MI
Mailing Address - Zip Code:48509-1121
Mailing Address - Country:US
Mailing Address - Phone:989-262-9811
Mailing Address - Fax:
Practice Address - Street 1:2061 WILMAR ST
Practice Address - Street 2:
Practice Address - City:BURTON
Practice Address - State:MI
Practice Address - Zip Code:48509-1121
Practice Address - Country:US
Practice Address - Phone:989-262-9811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare