Provider Demographics
NPI:1598805558
Name:HOME CARE OF AMERICA, INC.
Entity Type:Organization
Organization Name:HOME CARE OF AMERICA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-438-2100
Mailing Address - Street 1:31201 S. CHICAGO RD.
Mailing Address - Street 2:SUITEB202
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-5527
Mailing Address - Country:US
Mailing Address - Phone:586-438-2100
Mailing Address - Fax:586-582-1369
Practice Address - Street 1:31201 S. CHICAGO RD.
Practice Address - Street 2:SUITEB202
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-5527
Practice Address - Country:US
Practice Address - Phone:586-438-2100
Practice Address - Fax:586-582-1369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI23-7496Medicare ID - Type Unspecified