Provider Demographics
NPI:1033955083
Name:ELCARIM LIMITED LIABILITY COMPANY DBA FOREVERFRESH
Entity type:Organization
Organization Name:ELCARIM LIMITED LIABILITY COMPANY DBA FOREVERFRESH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-591-7230
Mailing Address - Street 1:PO BOX 252692
Mailing Address - Street 2:
Mailing Address - City:W BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48325-2692
Mailing Address - Country:US
Mailing Address - Phone:734-591-7230
Mailing Address - Fax:734-235-5101
Practice Address - Street 1:30537 HUNTSMAN DR W
Practice Address - Street 2:
Practice Address - City:FARMINGTN HLS
Practice Address - State:MI
Practice Address - Zip Code:48331-1382
Practice Address - Country:US
Practice Address - Phone:734-591-7230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No171W00000XOther Service ProvidersContractorGroup - Single Specialty