Provider Demographics
NPI:1578826665
Name:AMERICAN HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:AMERICAN HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABRAR
Authorized Official - Middle Name:HUSSAIN
Authorized Official - Last Name:HANIF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-436-0514
Mailing Address - Street 1:2075 FORT ST STE 201
Mailing Address - Street 2:
Mailing Address - City:LINCOLN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48146-2191
Mailing Address - Country:US
Mailing Address - Phone:313-436-0514
Mailing Address - Fax:313-436-0517
Practice Address - Street 1:2075 FORT ST STE 201
Practice Address - Street 2:
Practice Address - City:LINCOLN PARK
Practice Address - State:MI
Practice Address - Zip Code:48146-2191
Practice Address - Country:US
Practice Address - Phone:313-436-0514
Practice Address - Fax:313-436-0517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-22
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI239279Medicare UPIN