Provider Demographics
NPI:1326242165
Name:ANOOPAM HEALTHCARE, P.C.
Entity Type:Organization
Organization Name:ANOOPAM HEALTHCARE, P.C.
Other - Org Name:EMINENT HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MANISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:734-451-2221
Mailing Address - Street 1:190 N MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-1236
Mailing Address - Country:US
Mailing Address - Phone:734-451-2221
Mailing Address - Fax:734-451-2241
Practice Address - Street 1:190 N MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-1236
Practice Address - Country:US
Practice Address - Phone:734-451-2221
Practice Address - Fax:734-451-2241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1326242165Medicaid
MI1326242165Medicaid