Provider Demographics
NPI:1811456288
Name:JOYFUL HOMECARE
Entity type:Organization
Organization Name:JOYFUL HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:313-643-0595
Mailing Address - Street 1:16250 CHEYENNE ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-4292
Mailing Address - Country:US
Mailing Address - Phone:313-643-0595
Mailing Address - Fax:313-731-1761
Practice Address - Street 1:16250 CHEYENNE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-4292
Practice Address - Country:US
Practice Address - Phone:313-643-0595
Practice Address - Fax:313-731-1761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-15
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health