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EXTENDED HEARTS & HANDS HOME CARE NPI 1215536941


NPI Information

NPI: 1215536941
Provider Name: EXTENDED HEARTS & HANDS HOME CARE

Doing Business As: EXTENDED HEARTS AND HANDS HOMECARE

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
30800 NORTHWESTERN HWY STE 230
FARMINGTON HILLS, MI
ZIP 48334
Phone: (124) 857-1902
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EXTENDED HEARTS & HANDS HOME CARE is an adult care home custodial care facility in Farmington Hills, MI. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. EXTENDED HEARTS & HANDS HOME CARE NPI is 1215536941. The provider is registered as an organization entity type.
The provider Is Doing Business As Extended Hearts And Hands Homecare.

The provider's business location address is:

30800 NORTHWESTERN HWY STE 230
FARMINGTON HILLS, MI
ZIP 48334-550
Phone: (124) 857-1902
Fax: (248) 829-7232

The provider's authorized official is Marquise C Mcqueen .
The authorized official title is Owner and has the following contact phone number (313) 727-4719.

The enumeration date for this NPI number is 10/23/2020 and was last updated on 9/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251K00000XPublic Health or WelfareNo
2253Z00000XIn Home Supportive CareNo
3385H00000XRespite CareNo
4311ZA0620XCustodial Care FacilityAdult Care HomeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19390788MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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