Provider Demographics
NPI:1013388289
Name:SHIELDS COMFORT CARE
Entity Type:Organization
Organization Name:SHIELDS COMFORT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HAMZA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIKANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:734-355-6050
Mailing Address - Street 1:9140 GRATIOT RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48609-9401
Mailing Address - Country:US
Mailing Address - Phone:989-607-0003
Mailing Address - Fax:989-401-8320
Practice Address - Street 1:9140 GRATIOT RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48609-9401
Practice Address - Country:US
Practice Address - Phone:989-607-0003
Practice Address - Fax:989-401-8320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-14
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAH7303277073104A0630X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances