Provider Demographics
NPI:1538327804
Name:AWESOME HOME HEALTH CARE,LLC
Entity Type:Organization
Organization Name:AWESOME HOME HEALTH CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NUDRAT
Authorized Official - Middle Name:
Authorized Official - Last Name:RAZEEUDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-416-1257
Mailing Address - Street 1:16000 W 9 MILE RD STE 320
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4835
Mailing Address - Country:US
Mailing Address - Phone:248-416-1257
Mailing Address - Fax:
Practice Address - Street 1:16000 W 9 MILE RD STE 320
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4835
Practice Address - Country:US
Practice Address - Phone:248-416-1257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health