Provider Demographics
NPI:1003979212
Name:IMPERIAL HOME HEALTHCARE,LLC
Entity Type:Organization
Organization Name:IMPERIAL HOME HEALTHCARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AZIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:734-479-2380
Mailing Address - Street 1:15530 KING RD
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:MI
Mailing Address - Zip Code:48193-7943
Mailing Address - Country:US
Mailing Address - Phone:734-479-2380
Mailing Address - Fax:734-479-2382
Practice Address - Street 1:15530 KING RD
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:MI
Practice Address - Zip Code:48193-7943
Practice Address - Country:US
Practice Address - Phone:734-479-2380
Practice Address - Fax:734-479-2382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health