Shasta Smith

LBN: Tlchomecare Llc
Shasta Smith is an health care organization with primary practice located at 37469 Charter Oaks Blvd , Clinton Twp MI 48036-2415. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Tlchomecare Llc can be contacted via phone (313) 247-2707, or through Smith, Shasta Latisha via phone (313) 247-2707.

Contact Information

Primary practice address
37469 Charter Oaks Blvd Clinton Twp MI 48036-2415
Phone: (313) 247-2707
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Shasta Latisha
Phone: (313) 247-2707

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X Michigan
Agencies / Home Health 251E00000X 4703115854 Michigan

Profile Details

NPI number 1386143071
LBN Legal business name Tlchomecare Llc
DBA Doing business as Shasta Smith
Authorized official Smith, Shasta Latisha
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2018
Last updated Apr 2nd, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386143071 NPPES
Michigan MEDICAID 273601772

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