1841683158 NPI number — HILL'S SUPPORT SERVICES INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841683158 NPI number — HILL'S SUPPORT SERVICES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HILL'S SUPPORT SERVICES INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841683158
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/11/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
26726 LEHIGH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
INKSTER
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48141-3127
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
313-562-6361
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6430 WASHINGTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROMULUS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48174-1742
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-617-3317
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/11/2015

Additional Information

Authorized Official

Authorized Official Last Name:
HILL
Authorized Official First Name:
LOUIS
Authorized Official Middle Name:
EDWARD
Authorized Official Title or Position:
PRESIDENT/CEO
Authorized Official Telephone Number:
313-617-3317

Provider Taxonomy Codes

  • Taxonomy code: 3104A0625X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1396087078 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".




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