Provider Demographics
NPI:1649409053
Name:SIGNATURE HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:SIGNATURE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:FAZAL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:313-377-5818
Mailing Address - Street 1:30050 HOOVER RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-2544
Mailing Address - Country:US
Mailing Address - Phone:313-377-5818
Mailing Address - Fax:
Practice Address - Street 1:30050 HOOVER RD
Practice Address - Street 2:SUITE H
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-2544
Practice Address - Country:US
Practice Address - Phone:313-377-5818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health