Provider Demographics
NPI:1720383748
Name:FOREVER HOME CARE LLC
Entity Type:Organization
Organization Name:FOREVER HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FATEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOHRA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-798-3372
Mailing Address - Street 1:48645 VAN DYKE AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48317-2575
Mailing Address - Country:US
Mailing Address - Phone:586-567-0516
Mailing Address - Fax:586-331-2429
Practice Address - Street 1:48645 VAN DYKE AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48317-2575
Practice Address - Country:US
Practice Address - Phone:586-567-0516
Practice Address - Fax:586-331-2429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-23
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health