Provider Demographics
NPI:1518945823
Name:CLASSIC PRIVATE CARE & CONSULTING SERVICES
Entity type:Organization
Organization Name:CLASSIC PRIVATE CARE & CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEELAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GUGLANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-254-0076
Mailing Address - Street 1:409 PLYMOUTH RD
Mailing Address - Street 2:SUITE 195
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-1497
Mailing Address - Country:US
Mailing Address - Phone:734-254-0076
Mailing Address - Fax:734-254-0460
Practice Address - Street 1:409 PLYMOUTH RD
Practice Address - Street 2:SUITE 195
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-1497
Practice Address - Country:US
Practice Address - Phone:734-254-0076
Practice Address - Fax:734-254-0460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health