Provider Demographics
NPI:1447205331
Name:CARE ONE HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:CARE ONE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:K
Authorized Official - Last Name:SAHORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-719-4440
Mailing Address - Street 1:2660 44TH ST SW
Mailing Address - Street 2:SUITE 500
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49519-4200
Mailing Address - Country:US
Mailing Address - Phone:616-719-4440
Mailing Address - Fax:616-719-4406
Practice Address - Street 1:2660 44TH ST SW
Practice Address - Street 2:SUITE 500
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49519-4200
Practice Address - Country:US
Practice Address - Phone:616-719-4440
Practice Address - Fax:616-719-4406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237647Medicare Oscar/Certification