Provider Demographics
NPI:1447481064
Name:CONCERNED HOME CARE OUTSOURCING, LLC
Entity type:Organization
Organization Name:CONCERNED HOME CARE OUTSOURCING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMELIN
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:TAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:989-479-3101
Mailing Address - Street 1:129 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:HARBOR BEACH
Mailing Address - State:MI
Mailing Address - Zip Code:48441-1102
Mailing Address - Country:US
Mailing Address - Phone:989-479-3101
Mailing Address - Fax:
Practice Address - Street 1:129 N 1ST ST
Practice Address - Street 2:
Practice Address - City:HARBOR BEACH
Practice Address - State:MI
Practice Address - Zip Code:48441-1102
Practice Address - Country:US
Practice Address - Phone:989-479-3101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONCERNED HOME CARE OUTSOURCING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-30
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy