Provider Demographics
NPI:1902252885
Name:NMN ENTERPRISES LLC
Entity Type:Organization
Organization Name:NMN ENTERPRISES LLC
Other - Org Name:GREAT NORTHERN HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NEVILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:NOFAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-856-9000
Mailing Address - Street 1:39850 VAN DYKE AVE
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-4628
Mailing Address - Country:US
Mailing Address - Phone:248-856-9000
Mailing Address - Fax:888-881-6124
Practice Address - Street 1:39850 VAN DYKE AVE
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-4628
Practice Address - Country:US
Practice Address - Phone:248-856-9000
Practice Address - Fax:888-881-6124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care