Provider Demographics
NPI:1710230867
Name:CHINOK HOME CARE, INC.
Entity Type:Organization
Organization Name:CHINOK HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CHIKA
Authorized Official - Middle Name:JAMESON
Authorized Official - Last Name:ONYEBUCHI
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:734-219-2456
Mailing Address - Street 1:1269 E MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-5901
Mailing Address - Country:US
Mailing Address - Phone:734-219-2456
Mailing Address - Fax:734-544-1654
Practice Address - Street 1:1269 E MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48198-5901
Practice Address - Country:US
Practice Address - Phone:734-219-2456
Practice Address - Fax:734-544-1654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home