Provider Demographics
NPI:1467499178
Name:ALL AMERICAN HOMECARE, INC
Entity Type:Organization
Organization Name:ALL AMERICAN HOMECARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:B
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-968-9510
Mailing Address - Street 1:21700 GREENFIELD ROAD
Mailing Address - Street 2:SUITE #230
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237
Mailing Address - Country:US
Mailing Address - Phone:248-968-9510
Mailing Address - Fax:248-968-9517
Practice Address - Street 1:21700 GREENFIELD ROAD
Practice Address - Street 2:SUITE #230
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237
Practice Address - Country:US
Practice Address - Phone:248-968-9510
Practice Address - Fax:248-968-9517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237715Medicare Oscar/Certification