Provider Demographics
NPI:1275630543
Name:BALAJIE HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:BALAJIE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GUNJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MANCHANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-424-8188
Mailing Address - Street 1:28551 SOUTHFIELD RD STE 207
Mailing Address - Street 2:
Mailing Address - City:LATHRUP VILLAGE
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2723
Mailing Address - Country:US
Mailing Address - Phone:248-424-8188
Mailing Address - Fax:248-424-8189
Practice Address - Street 1:28551 SOUTHFIELD RD STE 207
Practice Address - Street 2:
Practice Address - City:LATHRUP VILLAGE
Practice Address - State:MI
Practice Address - Zip Code:48076-2723
Practice Address - Country:US
Practice Address - Phone:248-424-8188
Practice Address - Fax:248-424-8189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI23-7603Medicare ID - Type Unspecified