Provider Demographics
NPI:1326286329
Name:PRINCIPAL HOME HEALTHCARE,LLC
Entity Type:Organization
Organization Name:PRINCIPAL HOME HEALTHCARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OPERATION
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-522-6721
Mailing Address - Street 1:31700 W 12 MILE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-4424
Mailing Address - Country:US
Mailing Address - Phone:248-522-6721
Mailing Address - Fax:248-786-3145
Practice Address - Street 1:31700 W 12 MILE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-4424
Practice Address - Country:US
Practice Address - Phone:248-522-6721
Practice Address - Fax:248-786-3145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-29
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health