Provider Demographics
NPI:1447947221
Name:ASSISTING YOU AT HOME
Entity type:Organization
Organization Name:ASSISTING YOU AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-581-1577
Mailing Address - Street 1:7304 METTETAL ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48228-3646
Mailing Address - Country:US
Mailing Address - Phone:313-581-1577
Mailing Address - Fax:313-334-4297
Practice Address - Street 1:7304 METTETAL ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228-3646
Practice Address - Country:US
Practice Address - Phone:313-581-1577
Practice Address - Fax:313-334-4297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI7504226Medicaid