Provider Demographics
NPI:1679748008
Name:NEXUS HOME HEALTHCARE HOLDINGS LLC
Entity Type:Organization
Organization Name:NEXUS HOME HEALTHCARE HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-217-6333
Mailing Address - Street 1:24505 NORTH CROMWELL DR.
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MI
Mailing Address - Zip Code:48025-1637
Mailing Address - Country:US
Mailing Address - Phone:248-217-6333
Mailing Address - Fax:947-570-1167
Practice Address - Street 1:24505 NORTH CROWELL DR.
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MI
Practice Address - Zip Code:48025-1637
Practice Address - Country:US
Practice Address - Phone:947-570-1177
Practice Address - Fax:947-570-1167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-27
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI239039Medicare PIN