Provider Demographics
NPI:1629157870
Name:PATIENT CHOICE HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:PATIENT CHOICE HOME HEALTHCARE, INC.
Other - Org Name:NONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:KHURSHID
Authorized Official - Last Name:SHAHAB
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:248-968-5554
Mailing Address - Street 1:5016 SILVERWOOD CT
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3372
Mailing Address - Country:US
Mailing Address - Phone:248-661-7811
Mailing Address - Fax:248-661-7812
Practice Address - Street 1:5016 SILVERWOOD CT
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3372
Practice Address - Country:US
Practice Address - Phone:248-661-7811
Practice Address - Fax:248-661-7811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health