Provider Demographics
NPI:1073707196
Name:AK HOMECARE SERVICES, LLC
Entity Type:Organization
Organization Name:AK HOMECARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHFAQ
Authorized Official - Middle Name:
Authorized Official - Last Name:KADWANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-677-9840
Mailing Address - Street 1:4870 CLARK ROAD
Mailing Address - Street 2:SUITE 106B
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197
Mailing Address - Country:US
Mailing Address - Phone:734-677-9840
Mailing Address - Fax:734-677-9841
Practice Address - Street 1:4870 CLARK ROAD
Practice Address - Street 2:SUITE 106B
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197
Practice Address - Country:US
Practice Address - Phone:734-677-9840
Practice Address - Fax:734-677-9841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-31
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1073707196Medicaid
23-7773OtherMEDICARE PART A
23-7773OtherMEDICARE PART A