Provider Demographics
NPI:1164759684
Name:ELLEVIATE HOME HEALTH CARE,INC
Entity Type:Organization
Organization Name:ELLEVIATE HOME HEALTH CARE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:SHERJEEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:HANIF
Authorized Official - Suffix:
Authorized Official - Credentials:EEO
Authorized Official - Phone:248-444-2772
Mailing Address - Street 1:4479 PONTIAC LAKE RD SUIT 6
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48328-2059
Mailing Address - Country:US
Mailing Address - Phone:248-444-2772
Mailing Address - Fax:248-686-0024
Practice Address - Street 1:4479 PONTIAC LAKE RD SUIT 6
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48328-2059
Practice Address - Country:US
Practice Address - Phone:248-444-2772
Practice Address - Fax:248-686-0024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-04
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health