Provider Demographics
NPI:1538307871
Name:REFLEX HOME CARE, LLC
Entity Type:Organization
Organization Name:REFLEX HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHNATHAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHAMMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-486-5974
Mailing Address - Street 1:1787 W BIG BEAVER RD
Mailing Address - Street 2:STE 150
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-3548
Mailing Address - Country:US
Mailing Address - Phone:586-486-5974
Mailing Address - Fax:586-486-5976
Practice Address - Street 1:1787 W BIG BEAVER RD
Practice Address - Street 2:STE 150
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-3548
Practice Address - Country:US
Practice Address - Phone:586-486-5974
Practice Address - Fax:586-486-5976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-24
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI239083Medicare Oscar/Certification