Provider Demographics
NPI:1508196825
Name:DEMENTIA CARE HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:DEMENTIA CARE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISRTATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HINA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL BILLER
Authorized Official - Phone:734-516-1061
Mailing Address - Street 1:13201 W WARREN AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-5029
Mailing Address - Country:US
Mailing Address - Phone:313-769-5814
Mailing Address - Fax:313-769-5815
Practice Address - Street 1:13201 W WARREN AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-5029
Practice Address - Country:US
Practice Address - Phone:313-769-5814
Practice Address - Fax:313-769-5815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health