Provider Demographics
NPI:1003472598
Name:CORPORE SANO HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:CORPORE SANO HOME HEALTH CARE INC.
Other - Org Name:CORPORE SANO PALLIATIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIHAELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAZDAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-454-3488
Mailing Address - Street 1:39475 ANN ARBOR RD E
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-4524
Mailing Address - Country:US
Mailing Address - Phone:734-454-3488
Mailing Address - Fax:734-454-3599
Practice Address - Street 1:39475 ANN ARBOR RD E
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-4524
Practice Address - Country:US
Practice Address - Phone:734-454-3488
Practice Address - Fax:734-454-3599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-10
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community BasedGroup - Single Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty