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? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
MI | 237715 | Medicare Oscar/Certification |