Provider Demographics
NPI:1225389141
Name:FAMILY HEALTH CENTER & REHAB INC
Entity Type:Organization
Organization Name:FAMILY HEALTH CENTER & REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALMASMARI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:313-874-3130
Mailing Address - Street 1:9743 CONANT ST
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-3306
Mailing Address - Country:US
Mailing Address - Phone:313-874-3130
Mailing Address - Fax:313-874-3178
Practice Address - Street 1:9743 CONANT ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-3306
Practice Address - Country:US
Practice Address - Phone:313-874-3130
Practice Address - Fax:313-874-3178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-02
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301007986385HR2065X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI14 4160343Medicaid
MI14 4160343Medicaid