Provider Demographics
NPI:1417045162
Name:HOME CARE PROFESSIONALS,INC
Entity Type:Organization
Organization Name:HOME CARE PROFESSIONALS,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEFOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-506-5329
Mailing Address - Street 1:25882 ORCHARD LAKE RD.
Mailing Address - Street 2:SUITE L-10
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336
Mailing Address - Country:US
Mailing Address - Phone:248-957-8676
Mailing Address - Fax:248-536-2141
Practice Address - Street 1:25882 ORCHARD LAKE RD.
Practice Address - Street 2:SUITE L-10
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336
Practice Address - Country:US
Practice Address - Phone:248-957-8676
Practice Address - Fax:248-536-2141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2017-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237564Medicare Oscar/Certification