Provider Demographics
NPI:1003812439
Name:NORTHWEST HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:NORTHWEST HOME HEALTH SERVICES INC
Other - Org Name:METRO HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTEL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:800-462-5632
Mailing Address - Street 1:2 CORPORATE DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-3759
Mailing Address - Country:US
Mailing Address - Phone:800-462-5632
Mailing Address - Fax:800-273-5331
Practice Address - Street 1:2 CORPORATE DR STE 100
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-3759
Practice Address - Country:US
Practice Address - Phone:800-462-5632
Practice Address - Fax:800-273-5331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-21
Last Update Date:2017-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4729794251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4729794Medicaid
MI237546Medicare ID - Type UnspecifiedHOME HEALTH SERVICES