Provider Demographics
NPI:1942944475
Name:THE HUSINKA GROUP LLC
Entity type:Organization
Organization Name:THE HUSINKA GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:C
Authorized Official - Last Name:HUSINKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-792-0564
Mailing Address - Street 1:9864 E GRAND RIVER AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-1999
Mailing Address - Country:US
Mailing Address - Phone:248-792-0564
Mailing Address - Fax:810-222-8385
Practice Address - Street 1:9095 RICKETT RD
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-8254
Practice Address - Country:US
Practice Address - Phone:248-792-0564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-21
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health