Provider Demographics
NPI:1043590003
Name:PURE HOME CARE INC
Entity Type:Organization
Organization Name:PURE HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:HADEEL
Authorized Official - Middle Name:JABBAR
Authorized Official - Last Name:MOHAMED ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-584-7300
Mailing Address - Street 1:7942 SCHAEFER RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-1161
Mailing Address - Country:US
Mailing Address - Phone:313-584-7300
Mailing Address - Fax:313-584-7307
Practice Address - Street 1:7942 SCHAEFER RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-1161
Practice Address - Country:US
Practice Address - Phone:313-584-7300
Practice Address - Fax:313-584-7307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-23
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health