Provider Demographics
NPI:1619752334
Name:NAYAHA HOME CARE LLC
Entity Type:Organization
Organization Name:NAYAHA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWN
Authorized Official - Prefix:
Authorized Official - First Name:ABDALLAH
Authorized Official - Middle Name:DALLAS
Authorized Official - Last Name:NAYAHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-731-1220
Mailing Address - Street 1:2444 E SAGINAW ST
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-9745
Mailing Address - Country:US
Mailing Address - Phone:517-731-1220
Mailing Address - Fax:
Practice Address - Street 1:2444 E SAGINAW ST
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-9745
Practice Address - Country:US
Practice Address - Phone:517-731-1220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No253Z00000XAgenciesIn Home Supportive Care