Provider Demographics
NPI:1013403658
Name:H & K HOLDING GROUP LLC
Entity Type:Organization
Organization Name:H & K HOLDING GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FAYAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-888-2333
Mailing Address - Street 1:1431 WASHINGTON BLVD APT 1608
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48226-1724
Mailing Address - Country:US
Mailing Address - Phone:313-888-2333
Mailing Address - Fax:
Practice Address - Street 1:15565 NORTHLAND DR W STE 308
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5312
Practice Address - Country:US
Practice Address - Phone:248-327-6766
Practice Address - Fax:248-996-8457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-06
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI802213125261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)