Provider Demographics
NPI:1093847634
Name:VIP HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:VIP HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHRAF
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-473-7600
Mailing Address - Street 1:33966 W 8 MILE RD
Mailing Address - Street 2:SUITE # 103
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-5273
Mailing Address - Country:US
Mailing Address - Phone:248-473-7600
Mailing Address - Fax:248-473-7602
Practice Address - Street 1:33966 W 8 MILE RD
Practice Address - Street 2:SUITE # 103
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48335-5273
Practice Address - Country:US
Practice Address - Phone:248-473-7600
Practice Address - Fax:248-473-7602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI23-7629Medicare ID - Type UnspecifiedHOME HEALTH AGENCY