# PRIVATE DUTY HOME HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avid Health at Home Michigan, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801135413
- **Authorized official:** JENNIFER LENTZ (CEO)
- **Authorized official phone:** (910) 728-4668

## Contact information

- **Practice address:** 3838 NILES RD, SAINT JOSEPH, MI 49085-8612
- **Practice address phone:** (269) 983-0300
- **Practice address fax:** (269) 983-0303
- **Mailing address:** 2626 NILES AVE, SAINT JOSEPH, MI 49085-1938
- **Mailing address phone:** (269) 983-0300
- **Mailing address fax:** (269) 983-0303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/04/2013
- **Last updated:** 07/09/2025
