Provider Demographics
NPI:1548928278
Name:WE WIN DETROIT HOME CARE LLC
Entity type:Organization
Organization Name:WE WIN DETROIT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:JIMERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-707-3507
Mailing Address - Street 1:1298 IVY LN
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-1914
Mailing Address - Country:US
Mailing Address - Phone:484-707-3507
Mailing Address - Fax:267-396-9461
Practice Address - Street 1:220 W CONGRESS ST # 312
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48226-3289
Practice Address - Country:US
Practice Address - Phone:484-707-3507
Practice Address - Fax:267-396-9461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1335520992Medicaid