Provider Demographics
NPI:1508196171
Name:SENIOR HOME CARE CONNECTIONS LLC
Entity Type:Organization
Organization Name:SENIOR HOME CARE CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABRAR
Authorized Official - Middle Name:HUSSAIN
Authorized Official - Last Name:HANIF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-294-9465
Mailing Address - Street 1:2075 FORT ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LINCOLN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48146-2195
Mailing Address - Country:US
Mailing Address - Phone:313-294-9465
Mailing Address - Fax:313-294-9466
Practice Address - Street 1:2075 FORT ST STE 200
Practice Address - Street 2:
Practice Address - City:LINCOLN PARK
Practice Address - State:MI
Practice Address - Zip Code:48146-2195
Practice Address - Country:US
Practice Address - Phone:313-914-4651
Practice Address - Fax:313-914-4658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-05
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI239192Medicare UPIN