Provider Demographics
NPI:1942712088
Name:ASSISTED CARE INC.
Entity type:Organization
Organization Name:ASSISTED CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BASSAM
Authorized Official - Middle Name:
Authorized Official - Last Name:CHALLANGOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-396-4401
Mailing Address - Street 1:4107 JOHN R RD STE 300
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-3639
Mailing Address - Country:US
Mailing Address - Phone:248-396-4401
Mailing Address - Fax:
Practice Address - Street 1:4107 JOHN R RD STE 300
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-3639
Practice Address - Country:US
Practice Address - Phone:248-396-4401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-30
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI7844943Medicaid