Provider Demographics
NPI:1730180175
Name:AMERICAN COMMUNITY HOMECARE SERVICES INC
Entity type:Organization
Organization Name:AMERICAN COMMUNITY HOMECARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MADELEINE
Authorized Official - Middle Name:TEODORO
Authorized Official - Last Name:BALISI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-576-1800
Mailing Address - Street 1:27190 DEQUINDRE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-3537
Mailing Address - Country:US
Mailing Address - Phone:586-576-1800
Mailing Address - Fax:586-576-1801
Practice Address - Street 1:27190 DEQUINDRE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48092-3537
Practice Address - Country:US
Practice Address - Phone:586-576-1800
Practice Address - Fax:586-576-1801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI237491251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
237491Medicare ID - Type Unspecified