Provider Demographics
NPI:1508453713
Name:CORE HOME HEALTH INC
Entity Type:Organization
Organization Name:CORE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:HAZEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENNANKARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-986-3970
Mailing Address - Street 1:38345 W 10 MILE RD STE 143
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-2867
Mailing Address - Country:US
Mailing Address - Phone:248-516-7060
Mailing Address - Fax:248-516-7061
Practice Address - Street 1:38345 W 10 MILE RD STE 143
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48335-2867
Practice Address - Country:US
Practice Address - Phone:248-516-7060
Practice Address - Fax:248-516-7061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health