Provider Demographics
NPI:1548336357
Name:DETROIT HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:DETROIT HOME HEALTH CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:IQBAL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:313-255-9915
Mailing Address - Street 1:26000 5 MILE RD
Mailing Address - Street 2:SUITE# 110
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3236
Mailing Address - Country:US
Mailing Address - Phone:313-255-9915
Mailing Address - Fax:313-255-9916
Practice Address - Street 1:26000 5 MILE RD
Practice Address - Street 2:SUITE# 110
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3236
Practice Address - Country:US
Practice Address - Phone:313-255-9915
Practice Address - Fax:313-255-9916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2015-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
239010Medicare Oscar/Certification