# RESIDENTIAL HOME COMMUNITIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396191177
- **Authorized official:** MRS. TIFFANY S JOHNSON NP (CEO/OWNER)
- **Authorized official phone:** (313) 316-8444

## Contact information

- **Practice address:** 11305 PIERSON ST, DETROIT, MI 48228-1247
- **Practice address phone:** (313) 316-8444
- **Mailing address:** 11305 PIERSON ST, DETROIT, MI 48228-1247
- **Mailing address phone:** (313) 316-8444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 4704282282 | MI | — |
| 363L00000X | Nurse Practitioner | 4704282282 | MI | Yes |

## Other

- **Enumeration date:** 05/10/2016
- **Last updated:** 05/10/2016