Provider Demographics
NPI:1578560637
Name:INTERNATIONAL HEALTH CARE PROPERTIES
Entity Type:Organization
Organization Name:INTERNATIONAL HEALTH CARE PROPERTIES
Other - Org Name:REGENCY AT WHITMORE LAKE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:ASHRAF
Authorized Official - Last Name:QAZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-386-0300
Mailing Address - Street 1:8633 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WHITMORE LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48189-9248
Mailing Address - Country:US
Mailing Address - Phone:734-449-4431
Mailing Address - Fax:734-449-4644
Practice Address - Street 1:8633 MAIN ST
Practice Address - Street 2:
Practice Address - City:WHITMORE LAKE
Practice Address - State:MI
Practice Address - Zip Code:48189-9248
Practice Address - Country:US
Practice Address - Phone:734-449-4431
Practice Address - Fax:734-449-4644
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CIENA HEALTHCARE MANAGEMENT, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-05
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI09504OtherBCBSM
MI2926050Medicaid
MI2926050Medicaid