Provider Demographics
NPI:1407155583
Name:ST. ANTHONY HEALTH CARE,INC
Entity Type:Organization
Organization Name:ST. ANTHONY HEALTH CARE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANAKI
Authorized Official - Middle Name:SUBBIAH
Authorized Official - Last Name:CHETTIAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-250-1246
Mailing Address - Street 1:21120 PARKER ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-5158
Mailing Address - Country:US
Mailing Address - Phone:248-250-1246
Mailing Address - Fax:248-319-0359
Practice Address - Street 1:21120 PARKER ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-5158
Practice Address - Country:US
Practice Address - Phone:248-250-1246
Practice Address - Fax:248-319-0359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health