Provider Demographics
NPI:1144277260
Name:TRI COUNTY HOME HEALTH SERVICES
Entity type:Organization
Organization Name:TRI COUNTY HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:SARWAR
Authorized Official - Last Name:HAQUE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:248-478-9600
Mailing Address - Street 1:28830 W 8 MILE RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-5905
Mailing Address - Country:US
Mailing Address - Phone:248-478-9600
Mailing Address - Fax:248-478-9605
Practice Address - Street 1:28830 W 8 MILE RD
Practice Address - Street 2:SUITE 210
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-5905
Practice Address - Country:US
Practice Address - Phone:248-478-9600
Practice Address - Fax:248-478-9605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI476-63DOtherSTATE REGISTRATION NUMBER