Provider Demographics
NPI:1710957121
Name:PARRISH HOME HEALTHCARE
Entity type:Organization
Organization Name:PARRISH HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:H
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:248-352-3400
Mailing Address - Street 1:25925 TELEGRAPH RD STE 202
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-2527
Mailing Address - Country:US
Mailing Address - Phone:248-352-3400
Mailing Address - Fax:248-352-2995
Practice Address - Street 1:25925 TELEGRAPH RD STE 202
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-2527
Practice Address - Country:US
Practice Address - Phone:248-352-3400
Practice Address - Fax:248-352-2995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-26
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251G00000X, 253Z00000X, 385H00000X
MIB2627C251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI154455081Medicaid
MI154455081Medicaid