Provider Demographics
NPI:1235014697
Name:EMINENT HEALTH IN-HOME LLC
Entity type:Organization
Organization Name:EMINENT HEALTH IN-HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHIKIARY
Authorized Official - Middle Name:
Authorized Official - Last Name:LITTLE-HYATT
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:810-931-9797
Mailing Address - Street 1:G4205 FENTON RD # 130
Mailing Address - Street 2:
Mailing Address - City:BURTON
Mailing Address - State:MI
Mailing Address - Zip Code:48529-1528
Mailing Address - Country:US
Mailing Address - Phone:810-771-5192
Mailing Address - Fax:
Practice Address - Street 1:4455 MOUNT VERNON PASS
Practice Address - Street 2:
Practice Address - City:SWARTZ CREEK
Practice Address - State:MI
Practice Address - Zip Code:48473-8237
Practice Address - Country:US
Practice Address - Phone:810-931-9797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-06
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
No251J00000XAgenciesNursing Care