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AH ROSEVILLE II SUBTENANT LLC NPI 1184372070


NPI Information

NPI: 1184372070
Provider Name: AH ROSEVILLE II SUBTENANT LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization

CLIA Number: 23D2199118

Address:
18760 E 13 MILE RD
ROSEVILLE, MI
ZIP 48066
Phone: (586) 601-6119
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AH ROSEVILLE II SUBTENANT LLC is an in home supportive care in Roseville, MI. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. AH ROSEVILLE II SUBTENANT LLC NPI is 1184372070. The provider is registered as an organization entity type.

The provider's business location address is:

18760 E 13 MILE RD
ROSEVILLE, MI
ZIP 48066-326
Phone: (586) 601-6119

The provider's authorized official is Lisa Alexander .
The authorized official title is Compliance Director and has the following contact phone number (248) 392-5521.

The CLIA number assigned to this NPI record is 23D2199118 - other - home for the aged with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/10/2022 and was last updated on 3/10/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive CareYes

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: 5/5/2024

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