Provider Demographics
| NPI: | 1659560316 |
|---|---|
| Name: | NEXUS HOME HEALTH CARE INC. |
| Entity type: | Organization |
| Organization Name: | NEXUS HOME HEALTH CARE INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | ADMINISTRATOR |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | CLIFFORD |
| Authorized Official - Middle Name: | MICHAEL |
| Authorized Official - Last Name: | SITTO |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 248-478-9460 |
| Mailing Address - Street 1: | 1050 WILSHIRE DR |
| Mailing Address - Street 2: | SUITE 140 |
| Mailing Address - City: | TROY |
| Mailing Address - State: | MI |
| Mailing Address - Zip Code: | 48084-1500 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 248-478-9460 |
| Mailing Address - Fax: | 248-478-9469 |
| Practice Address - Street 1: | 1050 WILSHIRE DR |
| Practice Address - Street 2: | SUITE 140 |
| Practice Address - City: | TROY |
| Practice Address - State: | MI |
| Practice Address - Zip Code: | 48084-1500 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 248-478-9460 |
| Practice Address - Fax: | 248-478-9469 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-10-18 |
| Last Update Date: | 2016-12-20 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 251E00000X | Agencies | Home Health |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| MI | 239046 | Medicare Oscar/Certification |