Provider Demographics
NPI:1689900979
Name:ADVANCE CARE HOME CARE, INC
Entity Type:Organization
Organization Name:ADVANCE CARE HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ZAFAR
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHMOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-544-0278
Mailing Address - Street 1:850 S HEWITT RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-4588
Mailing Address - Country:US
Mailing Address - Phone:734-544-0278
Mailing Address - Fax:734-544-0279
Practice Address - Street 1:850 S HEWITT RD
Practice Address - Street 2:SUITE 220
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-4588
Practice Address - Country:US
Practice Address - Phone:734-544-0278
Practice Address - Fax:734-544-0279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-22
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health