Provider Demographics
NPI:1932739752
Name:LUCY CARES HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:LUCY CARES HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCRETIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPILLMAN-RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-662-4534
Mailing Address - Street 1:3651 BUCKINGHAM AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48224-3534
Mailing Address - Country:US
Mailing Address - Phone:313-662-4534
Mailing Address - Fax:
Practice Address - Street 1:3651 BUCKINGHAM AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48224-3534
Practice Address - Country:US
Practice Address - Phone:313-662-4534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health