Provider Demographics
NPI:1609209857
Name:COMMUNITY SENIOR HOME CARE LLC
Entity Type:Organization
Organization Name:COMMUNITY SENIOR HOME 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:HUSSIAN
Authorized Official - Last Name:HANIF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-914-4675
Mailing Address - Street 1:2075 FORT ST STE 204
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:313-914-4675
Mailing Address - Fax:313-914-4658
Practice Address - Street 1:2075 FORT ST STE 204
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:313-914-4675
Practice Address - Fax:313-914-4658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health