Provider Demographics
NPI:1598944019
Name:NEW DIMENSION HOMECARE INC.
Entity Type:Organization
Organization Name:NEW DIMENSION HOMECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ISHTIAQ
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:248-395-9660
Mailing Address - Street 1:16000 W 9 MILE RD
Mailing Address - Street 2:SUITE 607
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4808
Mailing Address - Country:US
Mailing Address - Phone:248-395-9660
Mailing Address - Fax:248-395-9661
Practice Address - Street 1:16000 W 9 MILE RD
Practice Address - Street 2:SUITE 607
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4808
Practice Address - Country:US
Practice Address - Phone:248-395-9660
Practice Address - Fax:248-395-9661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health